TANGO, INC
NPI 1306385877
Pharmacy - Specialty Pharmacy in North Las Vegas, NV

Active since February 17, 2017CLIA 29D2244959 · Waiver
4090 W CRAIG RD STE 101, NORTH LAS VEGAS, NV 89032(702) 636-2054(702) 636-2028 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2023, Mar 7, 2018, Sep 21, 2017 and 4 more (7 updates tracked since 2017).

About Tango, Inc NPPES

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

TANGO, INC (NPI 1306385877) is a healthcare organization registered as a specialty pharmacy in North Las Vegas, Nevada and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through December 6, 2027 and lists Robenson Apibo-tango, Owner Pic, as its authorized official.

NPPES Registry Identity

NPI1306385877
Entity TypeOrganization
Primary Taxonomy3336S0011X
Legal Business NameTANGO, INC
Location Address4090 W CRAIG RD STE 101North Las Vegas, NV 89032-2758
Mailing AddressPo Box 777833Henderson, NV 89077-7833 · (702) 636-2054
Fax(702) 636-2028
Organization SubpartNo
Authorized OfficialRobenson Apibo-tangoOwner Pic · (702) 636-2054
Enumeration DateFebruary 17, 2017
Last NPPES UpdateJanuary 16, 20237 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2023
NPI 1306385877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacy · Specialty PharmacySuppliers
Taxonomy Code3336S0011X
License Licensed in NV · PH03689
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License PH03689 (NV)
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
4090 W CRAIG RD STE 101, North Las Vegas, NV 89032

Other Identifiers 2

Medicaid1306385877NV
Other2168000Pk

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2244959

Tango Pharmacy · N Las Vegas, NV
Active · expires Dec 6, 2027
CLIA Number29D2244959
Laboratory TypePharmacy
Certificate Effective DateDecember 7, 2025
Certificate Expiration DateDecember 6, 2027
Laboratory DirectorRobenson Apibo-Tango
Laboratory Phone(702) 636-2054
Laboratory LocationTango Pharmacy4090 W Craig Rd Ste 101, N Las Vegas, NV 89032
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
16 services16 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Long Term Care Pharmacy)
4090 W CRAIG RD STE 101
NORTH LAS VEGAS, NV 89032
Pharmacist
4090 W CRAIG RD STE 101
NORTH LAS VEGAS, NV 89032

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 Tango, Inc's NPI number?

The NPI number for Tango, Inc is 1306385877. It was assigned to this organization in the NPPES registry on February 17, 2017.

Where is Tango, Inc located?

Tango, Inc is located at 4090 W Craig Rd Ste 101, North Las Vegas, NV 89032. The listed phone number is (702) 636-2054.

What is Tango, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Specialty Pharmacy, with taxonomy code 3336S0011X.

Does Tango, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2244959) is associated with this NPI, valid through December 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tango, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Tango, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tango, Inc was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.