Active NPI
Binh Tran
- Pharmacist
- Bella Vista, AR
National Provider Identifier
1003418732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD15471
- Practice address
- 3499 Bella Vista Way
Bella Vista, AR 72714-5740 - Phone
- (479) 273-9136
- NPI assigned
- Nov 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD15471 | AR | Primary |
Addresses
Primary practice location
3499 Bella Vista Way
Bella Vista, AR 72714-5740
Mailing address
3836 W Shoal Creek LN Apt 105
Fayetteville, AR 72704-6447
Phone (479) 459-2494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD15471 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3499 Bella Vista Way
Bella Vista, AR 72714
Phone (479) 273-1381
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Bella Vista, AR
- NPI 1245245513
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1003418732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3836 W SHOAL CREEK LN APT 105",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727046447",
"telephone_number": "479-459-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3499 BELLA VISTA WAY",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727145740",
"telephone_number": "479-273-9136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "BINH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD15471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bella Vista, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.