Active NPI
George Khabro
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1124623343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20753
- Practice address
- 3827 E Sunset Rd Ste L
Las Vegas, NV 89120-3900 - Phone
- (702) 474-0268
- NPI assigned
- Dec 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Pharmacist | 183500000X | 20753 | NV | Primary |
Addresses
Primary practice location
3827 E Sunset Rd Ste L
Las Vegas, NV 89120-3900
Mailing address
3827 E Sunset Rd Ste L
Las Vegas, NV 89120-3900
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 |
|---|---|---|---|
| 20753 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662336000000",
"number": "1124623343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3827 E SUNSET RD STE L",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3827 E SUNSET RD STE L",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203900",
"telephone_number": "702-474-0268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHABRO",
"first_name": "GEORGE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-04",
"last_updated": "2022-09-05",
"certification_date": "2022-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "20753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.