Nevada Family Practice Residence Program
Pharmacy
4000 E Charleston Blvd, B-130, Las Vegas
Nevada, 89104-6659
702-968-4038 702-968-4033
Nevada Family Practice Residence Program is a Pharmacy in Las Vegas, Nevada. It is located at 4000 E Charleston Blvd, B-130, Las Vegas and it's customer support contact number is 702-968-4038. The authorized person of Nevada Family Practice Residence Program is Mr. Kenneth J. Ryan, RPH who is Pharmacist/manager of the pharmacy and his contact number is 702-968-4038. Active license number of Nevada Family Practice Residence Program is PH1189 for Pharmacy in Nevada.
Nevada Family Practice Residence Program is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Nevada Family Practice Residence Program type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Nevada Family Practice Residence Program |
| Type: | Pharmacy |
| Location: | 4000 E Charleston Blvd, B-130, Las Vegas,
Nevada, 89104-6659 |
| Phone: | 702-968-4038 |
| Fax: | 702-968-4033 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Kenneth J. Ryan |
| Credentials: | RPH |
| Position: | Pharmacist/manager |
| Contact Number: | 702-968-4038 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1083683874 |
| NPI Enumeration Date: | 15 Mar, 2006 |
| NPI Last Update On: | 05 Oct, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nevada Family Practice Residence Program are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | PH1189 | Nevada | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4000 E Charleston Blvd, B-130
Las Vegas, Nevada |
| Zip: | 89104-6659 |
| Phone Number: | 702-968-4038 |
| Fax Number: | 702-968-4033 |
Patients can reach Nevada Family Practice Residence Program at
4000 E Charleston Blvd, B-130, Las Vegas, Nevada or can
call on customer care at 702-968-4038.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.