Active NPI
Dien Tran, PHARMD
- Pharmacist
- Grand Prairie, TX
National Provider Identifier
1053968685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65458
- Practice address
- 4103 S Great Southwest Pkwy
Grand Prairie, TX 75052-3801 - Phone
- (972) 602-8156
- NPI assigned
- Aug 19, 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 | 65458 | TX | Primary |
Addresses
Primary practice location
4103 S Great Southwest Pkwy
Grand Prairie, TX 75052-3801
Mailing address
604 Fort Worth Ave Apt 3012
Dallas, TX 75208-0260
Phone (712) 574-6672
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
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
4103 S Great Southwest Pkwy
Grand Prairie, TX 75052
Phone (972) 602-8156
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
- Grand Prairie, TX
- NPI 1568409951
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1053968685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 FORT WORTH AVE APT 3012",
"city": "DALLAS",
"state": "TX",
"postal_code": "752080260",
"telephone_number": "712-574-6672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4103 S GREAT SOUTHWEST PKWY",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750523801",
"telephone_number": "972-602-8156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "DIEN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-19",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "65458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.