Khadija Caldwell

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

17245 Issued in AL

Practice address

1620 Ross Clark Cir
Dothan, AL 36301-5439

Phone

(334) 803-4359

NPI assigned

Nov 11, 2015

Last updated

Nov 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pike Drug Company LLC

  dba Pike Drug

  • Community/Retail Pharmacy
  • Brundidge, AL
  • NPI 1992276547
  NPD Authorized official
• Publix

  • Community/Retail Pharmacy
  • Enterprise, AL
  • NPI 1629440862
  NPD (past) Authorized official

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1851764948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 RIDGEWAY DR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363015439",
            "telephone_number": "334-803-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "KHADIJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AL",
            "license": "17245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C.D. Denney & Associates (Denney Vision)
• C.S. McArthur, O.D.,P.C.
• Esteban Cabassa Miskimen
• Rebecca T Cain, CRNP
• Elva Calderon
• Tami B Caldwell, CRNP
• Jacey Leigh Calhoun, PHARM.D.
• Shea Calhoun, CRNP
• Alexa Sophia Calvert, MS, RDN, LD
• Calvin L. Reid Geriatric Services, LLC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Dothan, AL
• Providers in Dothan, AL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.