Jimmy Duy Tran, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

68646 Issued in CA

Practice address

2315 Huntington Dr
Duarte, CA 91010-2102

Phone

(626) 305-9333

Fax

(401) 733-0516

NPI assigned

Nov 28, 2021

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

State licenses

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638057600000",
    "number": "1164189098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102102",
            "telephone_number": "626-305-9333",
            "fax_number": "401-733-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102102",
            "telephone_number": "626-305-9333",
            "fax_number": "401-733-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JIMMY",
        "middle_name": "DUY",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-28",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "68646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun Wing Tommy Richard Tong, M.D.
• Kieu My Tonnu, RN, CRNA
• Robert Toroussian, M.D.
• Bertha Maria Torres
• Renan Torres, PTA
• Michael N. Tran, MD
• Paul L Tran, DMD
• Steven Tran, FNP-BC
• Tracie Tran, MD
• Cindy Lynn Trang, PHARM.D.

• Pharmacy Technician in Duarte, CA
• Providers in Duarte, CA by specialty
• Pharmacy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; 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.