Achille Tiam, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

19728 Issued in NV

Practice address

4090 W Craig Rd
North Las Vegas, NV 89032-2757

Phone

(702) 636-2054

NPI assigned

Apr 24, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Tango, Inc

  • Specialty Pharmacy
  • North Las Vegas, NV
  • NPI 1306385877
  NPD (past)
• Tango, Inc

  • Long Term Care Pharmacy
  • North Las Vegas, NV
  • NPI 1831683655
  NPD (past)

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1801416250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 W CRAIG RD STE 101",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 W CRAIG RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322757",
            "telephone_number": "702-636-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIAM",
        "first_name": "ACHILLE",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "19728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@tangopharmacy.com",
            "affiliation": "N",
            "address_1": "4090 W Craig Rd",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890322757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thrive Behavioral Health & Trauma Centers
• Devin Michael Thrower
• Romika Thrower
• Theodis Thrower Jr.
• Jamie Thurman
• Lindsey F Tiberti, PHARM.D.
• Casey Matthew Tiefenthaler, PHARMD
• Ana Tift
• Timeless Individual Residential Care
• Jo Yvonne Timmons

• Pharmacist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Pharmacist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.