NPI Code Detail JSON Logo

1639733157 NPI number — SARA IKHLAQ PHARM.D

NPI Number: 1639733157
Health Care Provider/Practitioner: SARA IKHLAQ PHARM.D

Information about “1639733157” NPI (SARA IKHLAQ PHARM.D) exists in 1639733157 in HTML format HTML  |  1639733157 in plain Text format TXT  |  1639733157 in PDF (Portable Document Format) PDF  |  1639733157 in an XML format XML  formats.

NPI Number : 1639733157 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639733157",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "IKHLAQ",
    "FirstName": "SARA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARM.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "44 RED FOX TRL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SICKLERVILLE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08081-3710",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-366-2075",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "609 BERLIN CROSS KEYS RD STE D1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SICKLERVILLE",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08081-9535",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "856-818-4040",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/30/2019",
    "LastUpdateDate": "09/16/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "07/30/2019",
    "NPIReactivationDate": "09/16/2020",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "26354",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.