Active NPI
Mai Tran
- Pharmacist
- Alexandria, VA
National Provider Identifier
1104205657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202013011
- Practice address
- 8119 Holland Rd
Alexandria, VA 22306-3135 - Phone
- (703) 253-7697
- Fax
- (703) 799-2809
- NPI assigned
- May 28, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202013011 | VA | Primary |
Addresses
Primary practice location
8119 Holland Rd
Alexandria, VA 22306-3135
Mailing address
8119 Holland Rd
Alexandria, VA 22306-3135
Phone (703) 253-7697
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 |
|---|---|---|---|
| 0202013011 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1104205657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8119 HOLLAND RD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063135",
"telephone_number": "703-253-7697",
"fax_number": "703-799-2809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8119 HOLLAND RD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063135",
"telephone_number": "703-253-7697",
"fax_number": "703-799-2809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MAI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202013011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.