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TANGO INC NPI 1306385877


NPI Information

NPI: 1306385877
Provider Name: TANGO, INC
Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

CLIA Number: 29D2244959

Address:
4090 W CRAIG RD STE 101
NORTH LAS VEGAS, NV
ZIP 89032
Phone: (702) 636-2054
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TANGO, INC is a specialty pharmacy pharmacy in North Las Vegas, NV. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. TANGO, INC NPI is 1306385877. The provider is registered as an organization entity type.

The provider's business location address is:

4090 W CRAIG RD STE 101
NORTH LAS VEGAS, NV
ZIP 89032-758
Phone: (702) 636-2054
Fax: (702) 636-2028

The provider's authorized official is Robenson Apibo-tango .
The authorized official title is Owner Pic and has the following contact phone number (702) 636-2054.

The CLIA number assigned to this NPI record is 29D2244959 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2017 and was last updated on 1/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPH03689NEVADANo
33336L0003XPharmacyLong Term Care PharmacyNo
43336S0011XPharmacySpecialty PharmacyPH03689NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11306385877MEDICAIDNEVADA
22168000OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.