Active NPI
Wilton N Tran, PHARM.D.
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1114373933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 54235
- Practice address
- 4702 E Vineyard Rd
Phoenix, AZ 85042-6423 - Phone
- (602) 820-4160
- NPI assigned
- May 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | PS 54235 | FL | Primary |
Addresses
Primary practice location
4702 E Vineyard Rd
Phoenix, AZ 85042-6423
Mailing address
4702 E Vineyard Rd
Phoenix, AZ 85042-6423
Phone (602) 820-4160
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS 54235 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1114373933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4702 E VINEYARD RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850426423",
"telephone_number": "602-820-4160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4702 E VINEYARD RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850426423",
"telephone_number": "602-820-4160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "WILTON",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-11",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 54235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.