Kholoud Khalaf

Primary specialty

PharmacistTaxonomy code 183500000X

License

14694-40 Issued in WI

Practice address

5 Presidential LN
Valencia, PA 16059-1439

Phone

(262) 308-1106

NPI assigned

Nov 1, 2011

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 and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Kenosha, WI
  • NPI 1225043375
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1922384189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 14TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531443036",
            "telephone_number": "262-308-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PRESIDENTIAL LN",
            "city": "VALENCIA",
            "state": "PA",
            "postal_code": "160591439",
            "telephone_number": "262-308-1106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 30th Ave",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531441437",
            "country_code": "US",
            "telephone_number": "262-551-8812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALAF",
        "first_name": "KHOLOUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "14694-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holland Physical Therapy and Sports Rehab
• Installations and Modifications, Inc.
• James L Reppermund DMD PC
• Patricia L Karausky
• Keystone Rehabilitation Systems, Inc.
• Sara Ann Kiley, MT-BC
• Susan Roberta Kushner, PT
• Marentay, LLC
• Matthew Mascari, PSY.D.
• Kathleen Mason

• Pharmacist in Valencia, PA
• Providers in Valencia, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.