Zainab Khatoon, PHARMD
Individual provider Active NPI Pharmacist · Polacca, AZ
NPI 1831691849 · NPPES record last updated Mar 6, 2018
Key facts
- NPI
- 1831691849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 57279 (FL)
- Practice address
- Highway 264 Mile Post 388
Polacca, AZ 86042 - Phone
- (928) 737-6000
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57279 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 57279 | FL | Yes |
Addresses
Primary practice location
Highway 264 Mile Post 388
Polacca, AZ 86042
Mailing address
5598 109TH Ter N
Pinellas Park, FL 33782-2780
Phone (727) 510-5564
Other providers in Polacca, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.