Tango, Inc

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PH03689 Issued in NV

Legal business name

TANGO, INC

Practice address

4090 W Craig Rd Ste 101
North Las Vegas, NV 89032-2758

Phone

(702) 636-2054

Fax

(702) 636-2028

NPI assigned

Feb 17, 2017

Organization subpart

No

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

Authorized official

Name

Robenson Apibo-Tango, PHARM.DNPI 1962781633

Title

Owner Pic

Phone

(702) 636-2054

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV3 enrollments

Enrollment records 3

Tax ID family

Tango Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tango, Inc

  • Long Term Care Pharmacy
  • North Las Vegas, NV
  • NPI 1831683655
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Tango, Inc

  • Long Term Care Pharmacy
  • North Las Vegas, NV
  • NPI 1831683655
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robenson Apibo-Tango, PHARM.D

  • Pharmacist
  • North Las Vegas, NV
  • NPI 1962781633
  NPD Authorized official
• Achille Tiam, PHARM.D.

  • Pharmacist
  • North Las Vegas, NV
  • NPI 1801416250
  NPD (past)

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1306385877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777833",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890777833",
            "telephone_number": "702-636-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 W CRAIG RD STE 101",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322758",
            "telephone_number": "702-636-2054",
            "fax_number": "702-636-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "APIBO-TANGO",
        "authorized_official_first_name": "ROBENSON",
        "authorized_official_title_or_position": "OWNER PIC",
        "authorized_official_telephone_number": "702-636-2054",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH03689",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NV",
            "license": "PH03689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306385877",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayana Tamayo Cala
• Christian Denise Tan
• George Tan, M.D.
• Ivy Ying Tan, FNP, DNP
• Ronald Tan
• Tango, Inc
• Kiera A Tanner, LMT
• Pamela Concepcion Tantoco
• Deborah Taormina, NP
• Larry Tapanes Morales

• Specialty Pharmacy in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Specialty Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.