IndividualActive
Miriam Fanga
NPI 1063919991 · Community/Retail Pharmacy · Las Vegas, NV
Miriam Fanga is a Community/Retail Pharmacy provider in Las Vegas, NV (NPI 1063919991).
Provider details
- NPI number
- 1063919991
- Entity type
- Individual
- Primary specialty
- Community/Retail PharmacySuppliers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 19831 (NV)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4895 Boulder Hwy # 100
Las Vegas, NV 89121-3086
Phone: (702) 898-5264
Street-level locationGet directions
Mailing address
2180 E Warm Springs Rd Unit 2163
Las Vegas, NV 89119-0449
Registry dates
- Enumerated
- 2018-04-08
- Last updated
- 2018-06-16
Frequently asked questions
- What is Miriam Fanga's NPI number?
- Miriam Fanga's National Provider Identifier (NPI) is 1063919991, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Miriam Fanga's specialty?
- Miriam Fanga is listed in the NPPES registry with a primary specialty of Community/Retail Pharmacy (Suppliers).
- Where is Miriam Fanga located?
- Miriam Fanga's practice location on file with NPPES is 4895 Boulder Hwy # 100, Las Vegas, NV 89121-3086.
- What is Miriam Fanga's phone number?
- The practice phone number listed in the NPPES registry for Miriam Fanga is (702) 898-5264.
- Is Miriam Fanga's NPI active?
- Yes — Miriam Fanga's NPI (1063919991) is active in the NPPES registry as of the last update on 2018-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.