Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nevada Family Practice Residence Program

Organization Pharmacy · NPI 1083683874

Nevada Family Practice Residence Program is a Pharmacy in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2006.

Licensed in
NV
In the registry since
2006

Practice location Address checks out

4000 E Charleston Blvd B-130
Las Vegas, NV 89104-6659
Phone: (702) 968-4038
Fax: (702) 968-4033
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence PH1189 (NV)

Record details

NPI number1083683874
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Ryan — Pharmacist/Manager · (702) 968-4038
Other names Campus Pharmacy Iii
NPI enumeratedMarch 15, 2006
Last updated in NPPESOctober 5, 2010
Mailing address4000 E Charleston Blvd, B-130, Las Vegas, NV 89104-6659

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