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MIRIAM FOMEN FANGA
NPI 1063919991
Pharmacy - Community/Retail Pharmacy in Las Vegas, NV

Active since April 08, 2018
4895 BOULDER HWY # 100, LAS VEGAS, NV 89121(702) 898-5264 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miriam Fomen Fanga NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRIAM FOMEN FANGA (NPI 1063919991) is an individual community/retail pharmacy provider in Las Vegas, Nevada, licensed in Nevada (19831) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1063919991
Entity TypeIndividualFemale
Primary Taxonomy3336C0003X
Provider Legal NameMIRIAM FOMEN FANGA
Location Address4895 BOULDER HWY # 100Las Vegas, NV 89121-3086
Mailing Address2180 E Warm Springs Rd Unit 2163Las Vegas, NV 89119-0449 · (240) 462-1809
Phone(702) 898-5264
Sole ProprietorYes
Enumeration DateApril 8, 2018
Last NPPES UpdateJune 16, 2018
✔ NPI 1063919991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NV · 19831
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
4895 BOULDER HWY # 100, Las Vegas, NV 89121
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Other Identifiers 1

Other19831NV · Pharmacist

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miriam Fanga's NPI number?

The NPI number for Miriam Fanga is 1063919991. It was assigned to this individual provider in the NPPES registry on April 8, 2018.

Where is Miriam Fanga located?

Miriam Fanga practices at 4895 Boulder Hwy # 100, Las Vegas, NV 89121. The listed phone number is (702) 898-5264.

What is Miriam Fanga's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Miriam Fanga was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.