Active NPI
Tien Minh Tran, R.PH
- Pharmacist
- St Petersburg, FL
National Provider Identifier
1144598152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS36384
- Practice address
- 3350 Central Avenue
St Petersburg, FL 33712 - Phone
- (727) 327-4003
- Fax
- (727) 328-0271
- NPI assigned
- Dec 5, 2011
- 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 | PS36384 | FL | Primary |
Addresses
Primary practice location
3350 Central Avenue
St Petersburg, FL 33712
Mailing address
3350 Central Ave
Saint Petersburg, FL 33712-1021
Phone (727) 327-4003
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS36384 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- St Petersburg, FL
- NPI 1588679765
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326672000000",
"number": "1144598152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 CENTRAL AVE",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337121021",
"telephone_number": "727-327-4003",
"fax_number": "727-328-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 CENTRAL AVENUE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33712",
"telephone_number": "727-327-4003",
"fax_number": "727-328-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "TIEN",
"middle_name": "MINH",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-05",
"last_updated": "2012-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS36384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.