OrganizationActive
Nevada Family Practice Residence Program
NPI 1083683874 · Pharmacy · Las Vegas, NV
Nevada Family Practice Residence Program is a Pharmacy organization in Las Vegas, NV (NPI 1083683874).
Provider details
- NPI number
- 1083683874
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kenneth Ryan, Pharmacist/Manager(702) 968-4038
- License
- PH1189 (NV)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
4000 E Charleston Blvd
B-130
Las Vegas, NV 89104-6659
Phone: (702) 968-4038
Fax: (702) 968-4033
Street-level locationGet directions
Mailing address
4000 E Charleston Blvd
Las Vegas, NV 89104-6659
Other names (DBA / former)
- Other name
- Campus Pharmacy III
Registry dates
- Enumerated
- 2006-03-15
- Last updated
- 2010-10-05
Frequently asked questions
- What is Nevada Family Practice Residence Program's NPI number?
- Nevada Family Practice Residence Program's National Provider Identifier (NPI) is 1083683874, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nevada Family Practice Residence Program?
- Nevada Family Practice Residence Program is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Nevada Family Practice Residence Program located?
- Nevada Family Practice Residence Program's practice location on file with NPPES is 4000 E Charleston Blvd, Las Vegas, NV 89104-6659.
- What is Nevada Family Practice Residence Program's phone number?
- The practice phone number listed in the NPPES registry for Nevada Family Practice Residence Program is (702) 968-4038.
- Who is the authorized official for Nevada Family Practice Residence Program?
- The authorized official listed on Nevada Family Practice Residence Program's NPPES record is Kenneth Ryan, Pharmacist/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nevada Family Practice Residence Program's NPI active?
- Yes — Nevada Family Practice Residence Program's NPI (1083683874) is active in the NPPES registry as of the last update on 2010-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.