NPIMap

Organization Active NPI

Tango, Inc

  • Long Term Care Pharmacy
  • North Las Vegas, NV
National Provider Identifier
1831683655
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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
Jun 15, 2018
Organization subpart
Yes
Parent organization
TANGO, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Robenson Apibo-TangoNPI 1962781633
Title
President
Phone
(702) 636-2054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

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

Mailing address

PO Box 777833
Henderson, NV 89077-7833
Phone (702) 636-2054

Other names 1

  • Tango Pharmacy Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2244959Tango Pharmacy4090 W Craig Rd Ste 101, N Las Vegas, NV 89032Certificate of waiverDec 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Tango Inc2 organizations share this tax ID, including this one
Part of
Tango Inc

Other organizations with this tax ID 1

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

Locations

4090 W Craig Rd
Ste 101
North Las Vegas, NV 89032
Phone (702) 636-2054

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1831683655",
    "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",
            "fax_number": "702-636-2028"
        },
        {
            "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": "YES",
        "parent_organization_legal_business_name": "TANGO, INC",
        "enumeration_date": "2018-06-15",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "APIBO-TANGO",
        "authorized_official_first_name": "ROBENSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-636-2054"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tango Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tango Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.