Active NPI
Theo Tran
- Pharmacist
- Boston, MA
National Provider Identifier
1043859838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH233697
- Practice address
- 725 Albany St
Boston, MA 02118-3549 - Phone
- (617) 414-4880
- NPI assigned
- Dec 27, 2019
- Sex
- Male
- 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 | PH233697 | MA | Primary |
Addresses
Primary practice location
725 Albany St
Boston, MA 02118-3549
Mailing address
725 Albany St
Boston, MA 02118-3549
Phone (617) 414-4880
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | tran.theo@mybmc.org |
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 |
|---|---|---|---|
| PH233697 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577404800000",
"number": "1043859838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 ALBANY ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183549",
"telephone_number": "617-414-4880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 ALBANY ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183549",
"telephone_number": "617-414-4880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "THEO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-27",
"last_updated": "2019-12-27",
"certification_date": "2019-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH233697",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tran.theo@mybmc.org",
"affiliation": "N",
"endpointDescription": "Work Email",
"address_1": "725 Albany St",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021183549",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.