Active NPI
Khai Cong Tran, PHARM.D.
- Pharmacist
- Fullerton, CA
National Provider Identifier
1144455213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49101
- Practice address
- 900 S Harbor Blvd
Fullerton, CA 92832-3025 - Phone
- (714) 738-7532
- Fax
- (714) 738-7538
- NPI assigned
- May 19, 2009
- Last updated
- Jan 31, 2017
- 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 | 49101 | CA | Primary |
Addresses
Primary practice location
900 S Harbor Blvd
Fullerton, CA 92832-3025
Mailing address
9449 Imperial Hwy
Building a
Downey, CA 90242-2814
Phone (562) 657-2604
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1144455213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9449 IMPERIAL HWY",
"address_2": "BUILDING A",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902422814",
"telephone_number": "562-657-2604",
"fax_number": "877-885-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S HARBOR BLVD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928323025",
"telephone_number": "714-738-7532",
"fax_number": "714-738-7538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "KHAI",
"middle_name": "CONG",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-19",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "49101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.