Active NPI
Long Tran
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1083247571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66085
- Practice address
- 1653 Basswood Blvd
Fort Worth, TX 76131 - Phone
- (682) 316-6387
- NPI assigned
- Feb 13, 2020
- 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 | 66085 | TX | Primary |
Addresses
Primary practice location
1653 Basswood Blvd
Fort Worth, TX 76131
Mailing address
1653 Basswood Blvd
Fort Worth, TX 76131
Phone (682) 316-6387
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 |
|---|---|---|---|
| 66085 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas LP | Current | Accepting new patients |
Locations
1653 Basswood Blvd
Saginaw, TX 76131
Phone (682) 316-6387
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1083247571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1653 BASSWOOD BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76131",
"telephone_number": "682-316-6387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 BASSWOOD BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76131",
"telephone_number": "682-316-6387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "LONG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-13",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "66085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.