Active NPI
Waleed Mazhar Khan, PHARMD
- Pharmacist
- Bronx, NY
National Provider Identifier
1881240802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26712
- Practice address
- 49 W Fordham Rd
Bronx, NY 10468-5322 - Phone
- (347) 536-7425
- NPI assigned
- Aug 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26712 | MD | Primary |
Addresses
Primary practice location
49 W Fordham Rd
Bronx, NY 10468-5322
Mailing address
9124 Fox Park Rd
Clinton, MD 20735-2991
Phone (347) 536-7425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26712 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1881240802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9124 FOX PARK RD",
"city": "CLINTON",
"state": "MD",
"postal_code": "207352991",
"telephone_number": "347-536-7425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 W FORDHAM RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104685322",
"telephone_number": "347-536-7425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "WALEED",
"middle_name": "MAZHAR",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-15",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.