Active NPI
Victor Ken Tang, PHARMD
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1871199596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 82954
- Practice address
- 4461 E Charleston Blvd
Las Vegas, NV 89104-5537 - Phone
- (702) 791-9050
- NPI assigned
- Dec 8, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0018209 | OR | |
| Pharmacist | 183500000X | 82954 | CA | Primary |
Addresses
Primary practice location
4461 E Charleston Blvd
Las Vegas, NV 89104-5537
Mailing address
6901 E Lake Mead Blvd Apt 1049
Las Vegas, NV 89156-1150
Phone (415) 608-9788
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | victor.tang@va.gov |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82954 | CA | MD | Marriage & Family Therapist |
| 0018209 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1871199596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 E LAKE MEAD BLVD APT 1049",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891561150",
"telephone_number": "415-608-9788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4461 E CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891045537",
"telephone_number": "702-791-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "VICTOR",
"middle_name": "KEN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-08",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0018209",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "82954",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "victor.tang@va.gov",
"affiliation": "N",
"address_1": "8495 Crater Lake Hwy",
"city": "White City",
"state": "OR",
"country_code": "US",
"postal_code": "975033011",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 30, 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.