Samuel Khalil

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH74439 Issued in CA

Practice address

4875 Broadway
Sacramento, CA 95820-1500

Phone

(279) 224-6005

NPI assigned

Apr 25, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1851089130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 BROADWAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958201500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 BROADWAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958201500",
            "telephone_number": "279-224-6005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Quality Dr",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956889494",
            "country_code": "US",
            "telephone_number": "707-624-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH74439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wafaa Khairallah
• Nikolay Khait, MA
• Ravjot Khakh
• Abdul M Khaleq, MD
• Hadia N Khalil
• Abdul Azeem M.Kher Khalili, DDS
• Afsaneh Khalili, M.D.
• Hosnia Khalili
• Nidal Ali Khalili, MD
• Sabira Khalili

• Pharmacist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.