Individual provider Active NPI

Kimberly Tran, PHARMD

  • Pharmacist
  • San Francisco, CA
National Provider Identifier
1114264819
Registry record updated Aug 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
76560 Issued in CA
Practice address
730 Market St
San Francisco, CA 94102-2502
Phone
(415) 397-4800
Fax
(415) 397-4038
NPI assigned
Jan 15, 2013
Last updated
Aug 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS49845 FL
Pharmacist 183500000X 52228 TX
Pharmacist 183500000X 76560 CA Primary

Addresses

Primary practice location

730 Market St
San Francisco, CA 94102-2502

Mailing address

730 Market St
San Francisco, CA 94102-2502
Phone (415) 397-4800

Other practice location 1

3102 Griffin Rd
Fort Lauderdale, FL 33312-6286
Phone (954) 961-1757

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

State licenses

LicenseStateTypeSpecialty
76560CAMDPharmacist
PS49845FLMDPharmacist
52228TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Sep 8, 2019 Accepting new patients
Walgreen Co PastSince Sep 8, 2019 Accepting new patients
Publix Super Markets Inc Past Accepting new patients
Publix Super Markets Inc Past Accepting new patients

Organizations & group practices 4

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": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567209600000",
    "number": "1114264819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022502",
            "telephone_number": "415-397-4800",
            "fax_number": "415-397-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022502",
            "telephone_number": "415-397-4800",
            "fax_number": "415-397-4038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3102 Griffin Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333126286",
            "country_code": "US",
            "telephone_number": "954-961-1757",
            "fax_number": "954-961-0975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2019-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49845",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "52228",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "76560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.