Active NPI
Thomas Tran
- Pharmacist
- Plymouth, MA
National Provider Identifier
1023613916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH24294
- Practice address
- 517 State Rd
Plymouth, MA 02360-5110 - Phone
- (617) 707-0143
- NPI assigned
- Dec 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | PH24294 | MA | Primary |
Addresses
Primary practice location
517 State Rd
Plymouth, MA 02360-5110
Mailing address
2 Saint Germain St Apt 1
Quincy, MA 02169-6561
Phone (617) 797-0153
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 |
|---|---|---|---|
| PH24294 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1023613916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SAINT GERMAIN ST APT 1",
"city": "QUINCY",
"state": "MA",
"postal_code": "021696561",
"telephone_number": "617-797-0153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 STATE RD",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023605110",
"telephone_number": "617-707-0143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MA",
"license": "PH24294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.