Tango, Inc
Specialty Pharmacy
4090 W Craig Rd Ste 101, North Las Vegas
Nevada, 89032-2758
702-636-2054 702-636-2028
Tango, Inc is a Specialty Pharmacy in North Las Vegas, Nevada. It is located at 4090 W Craig Rd Ste 101, North Las Vegas and it's customer support contact number is 702-636-2054. The authorized person of Tango, Inc is Robenson Apibo-tango, PHARM.D who is Owner Pic of the pharmacy and his contact number is 702-636-2054. Active license number of Tango, Inc is PH03689 for Specialty Pharmacy in Nevada. Tango, Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Tango, Inc is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
Pharmacy Details:
Tango, Inc 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: | Tango, Inc |
| Type: | Specialty Pharmacy |
| Location: | 4090 W Craig Rd Ste 101, North Las Vegas,
Nevada, 89032-2758 |
| Phone: | 702-636-2054 |
| Fax: | 702-636-2028 |
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: | Robenson Apibo-tango |
| Credentials: | PHARM.D |
| Position: | Owner Pic |
| Contact Number: | 702-636-2054 |
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: | 1306385877 |
| NPI Enumeration Date: | 17 Feb, 2017 |
| NPI Last Update On: | 16 Jan, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tango, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialty Pharmacy | PH03689 | Nevada | Primary | |
| Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | PH03689 | Nevada | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1306385877 | Medicaid | Nevada | |
| 2168000 | Other | | Pk |
Medicare Enrollment:
Tango, Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5092086819 | O20170811001736 | Tango Pllc | DME SUPPLIER - PHARMACY |
| 5092086819 | O20170919004370 | Tango Pllc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 777833,
Henderson, Nevada |
| Zip: | 89077-7833 |
| Phone Number: | 702-636-2054 |
Patients can reach Tango, Inc at
4090 W Craig Rd Ste 101, North Las Vegas, Nevada or can
call on customer care at 702-636-2054.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.