Active NPI
Humza Adil Khan
- Pharmacy Technician
- Mesquite, TX
National Provider Identifier
1912527367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 256858
- Practice address
- 2828 Motley Dr
Mesquite, TX 75150-3425 - Phone
- (972) 270-4448
- NPI assigned
- Apr 24, 2020
- Last updated
- Apr 26, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 256858 | TX | Primary |
Addresses
Primary practice location
2828 Motley Dr
Mesquite, TX 75150-3425
Mailing address
2828 Motley Dr
Mesquite, TX 75150-3425
Phone (469) 283-8425
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256858 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons LLC | Past | Accepting new patients | |
| Albertsons LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587859200000",
"number": "1912527367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 MOTLEY DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751503425",
"telephone_number": "469-283-8425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 MOTLEY DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751503425",
"telephone_number": "972-270-4448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "HUMZA",
"middle_name": "ADIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-24",
"last_updated": "2020-04-26",
"certification_date": "2020-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "256858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.