Active NPI
Kim Thanh Tran
- Pharmacist
- Livingston, TX
National Provider Identifier
1053936609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66082
- Practice address
- 1500 W Church St
Livingston, TX 77351-3004 - Phone
- (936) 327-2561
- NPI assigned
- Jun 9, 2020
- Last updated
- Nov 30, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 82197 | CA | |
| Pharmacist | 183500000X | 66082 | TX | Primary |
Addresses
Primary practice location
1500 W Church St
Livingston, TX 77351-3004
Mailing address
19435 Remington Martin Dr
Houston, TX 77073-4435
Phone (714) 622-0409
Other practice location 1
6010 N Figarden Dr
Fresno, CA 93722-7922
Phone (714) 622-0409
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 |
|---|---|---|---|
| 82197 | CA | MD | Pharmacist |
| 66082 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1053936609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19435 REMINGTON MARTIN DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770734435",
"telephone_number": "714-622-0409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W CHURCH ST",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773513004",
"telephone_number": "936-327-2561"
}
],
"practiceLocations": [
{
"address_1": "6010 N Figarden Dr",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937227922",
"country_code": "US",
"telephone_number": "714-622-0409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "KIM",
"middle_name": "THANH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-09",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "82197",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "66082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, TX
- Vashti Tillman
- Timothy Shane Shaw MD, PA
- Tippit Dental Group Livingston
- TMC Provider Group, PLLC (Texas MedClinic)
- Brittany Torres, LAT
- Trinity Livingston Dental PLLC (Trinity Dental)
- Caitlin True, OTR
- Tyler County Hospital District (The Bradford at Brookside)
- Tyler County Hospital District (The Bradford at Brookside)
- Urgent Health Solutions Livingston (Urgent Doc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.