Khadija Misbah, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

I070698-01 Issued in NY

Practice address

1296 2ND Ave
New York, NY 10065-5707

Phone

(212) 794-8700

NPI assigned

Oct 31, 2023

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Healthsource Pharmacy Inc

  • Long Term Care Pharmacy
  • New York, NY
  • NPI 1679318125
  NPD
• Healthsource Pharmacy Inc

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1770695876
  NPD

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1972376028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100655707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100655707",
            "telephone_number": "212-794-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISBAH",
        "first_name": "KHADIJA",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I070698-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Anthony Mis
• Luisa Isabel Misa
• Katrina Misanina, NP
• Sandra Misas-Galindo, MSW
• Mehdi Misba
• Kristin Miscall, LCSW
• Gregory E Misch, M.P.T
• Sarah Mischianti, PT,DPT
• Kathleen Dina Misciagna
• Bradley Miscovich, DO

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

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

Verify at the official NPI Registry.