Khalil Wafic Jaafar, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

45055 Issued in TX

Practice address

1515 N Loop 1604 E
San Antonio, TX 78232-1431

Phone

(210) 491-9001

Fax

(210) 545-4691

NPI assigned

Oct 27, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1922608371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24418 GALO CYN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782601552",
            "telephone_number": "210-900-8719",
            "fax_number": "210-545-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N LOOP 1604 E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321431",
            "telephone_number": "210-491-9001",
            "fax_number": "210-545-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAAFAR",
        "first_name": "KHALIL",
        "middle_name": "WAFIC",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS27256",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH20465",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "45055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J.Scott Luther, M.D., P.a
• J.W Hernandez Jr. DDS PC
• J&J Home Care LLC
• J&R Vaughn Enterprises, Inc
• Ja Hospice Inc
• Nour Myriam Jaafar
• Mariam Jabaly, MD
• Ghias K Jabbour, DDS
• Toleen Jaber
• Aaron Yusuf Jabir, MD

• Pharmacist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.