Individual provider Active NPI

Iris Khumalo-Musah

  • Pharmacist
  • Las Vegas, NV
National Provider Identifier
1770164840
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19747 Issued in NV
Practice address
4845 S Rainbow Blvd Ste 403
Las Vegas, NV 89103-4750
Phone
(702) 849-7668
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19747 NV Primary

Addresses

Primary practice location

4845 S Rainbow Blvd Ste 403
Las Vegas, NV 89103-4750

Mailing address

4845 S Rainbow Blvd
Las Vegas, NV 89103-4916
Phone (702) 538-9388

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite RX CurrentSince Feb 1, 2024 Accepting new patients
W Care LLC PastSince Apr 25, 2021 Accepting new patients

Locations

4845 S Rainbow Blvd
Ste 403
Las Vegas, NV 89103
Phone (702) 538-9388

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.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1770164840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034916",
            "telephone_number": "702-538-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 S RAINBOW BLVD STE 403",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034750",
            "telephone_number": "702-849-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHUMALO-MUSAH",
        "first_name": "IRIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "19747",
            "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 May 29, 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.