Baonhan Tran, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

056318 Issued in NY

Practice address

104 Lafayette Rd
Syracuse, NY 13205-2907

Phone

(315) 492-0248

Fax

(315) 492-0250

NPI assigned

Oct 10, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• KPH Healthcare Services, Inc.

  • Community/Retail Pharmacy
  • Brattleboro, VT
  • NPI 1407747157
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1124302120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 NOTTINGHAM RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132103453",
            "telephone_number": "315-214-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LAFAYETTE RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052907",
            "telephone_number": "315-492-0248",
            "fax_number": "315-492-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Nottingham Rd",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132103453",
            "country_code": "US",
            "telephone_number": "315-214-5097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "BAONHAN",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-10",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "056318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Tracy, FNP-C
• Wanda F Tracy, LPN
• Jacqueline Antonia Trahan-Dejesus
• Cathleen Mary Traino, LCSW
• Jacklyn Bichthuy Tran Nguyen, M.D.
• Ryan Quy Lan Tran
• Sonny Ky Tran
• Toan Tran, PA
• Joelle Traub, M.S. CAS
• Traveling Optometry PC

• Pharmacist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.