Active NPI
Vax Squad
- Pharmacy
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- VAX SQUAD
- Practice address
- 3450 E Russell Rd # 102
Las Vegas, NV 89120-2201 - Phone
- (725) 867-9411
- NPI assigned
- Aug 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karim Guirguis, PHARM.D.
- Title
- Pharmacist/Co-Owner
- Phone
- (702) 480-7086
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
3450 E Russell Rd # 102
Las Vegas, NV 89120-2201
Mailing address
2989 Via Della Amore
Henderson, NV 89052-4029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231005000313 | NV | Part B Supplier - Mass Immunization (Roster Biller Only) | 6002261450 | Practice locations: Las Vegas, NV |
National Provider Directory
National Provider DirectoryLocations
3450 E Russell Rd
Ste 102
Las Vegas, NV 89120
Phone (725) 867-9411
3450 E Russell Rd
#102
Las Vegas, NV 89120
Phone (725) 867-9411
3450 E Russell Rd
Las Vegas, NV 89120
Phone (702) 315-0490
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Las Vegas, NV
- NPI 1225311962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1144902248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2989 VIA DELLA AMORE",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 E RUSSELL RD # 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891202201",
"telephone_number": "725-867-9411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAX SQUAD",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-07",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A",
"authorized_official_last_name": "GUIRGUIS",
"authorized_official_first_name": "KARIM",
"authorized_official_title_or_position": "PHARMACIST/CO-OWNER",
"authorized_official_telephone_number": "702-480-7086",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"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 Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.