Active NPI
Mourad William Makien Girgis
- Pharmacist
- North Las Vegas, NV
National Provider Identifier
1417670746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20506
- Practice address
- 2011 E Lake Mead Blvd
North Las Vegas, NV 89030-7135 - Phone
- (848) 459-1399
- NPI assigned
- Sep 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20506 | NV | Primary |
Addresses
Primary practice location
2011 E Lake Mead Blvd
North Las Vegas, NV 89030-7135
Mailing address
2011 E Lake Mead Blvd
North Las Vegas, NV 89030-7135
Phone (848) 459-1399
Other practice location 1
4411 E Bonanza Rd
Las Vegas, NV 89110-3385
Phone (702) 452-5652
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 |
|---|---|---|---|
| 20506 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada CVS Pharmacy LLC | Past | Accepting new patients | |
| Nevada CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Las Vegas, NV
- NPI 1528581865
-
- Pharmacy
- Las Vegas, NV
- NPI 1548204894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1417670746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 E LAKE MEAD BLVD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890307135",
"telephone_number": "848-459-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 E LAKE MEAD BLVD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890307135",
"telephone_number": "848-459-1399"
}
],
"practiceLocations": [
{
"address_1": "4411 E Bonanza Rd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891103385",
"country_code": "US",
"telephone_number": "702-452-5652",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIRGIS",
"first_name": "MOURAD",
"middle_name": "WILLIAM MAKIEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "20506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North 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 21, 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.