Individual provider Active NPI

Jeni Tran, PHARMD

  • Pharmacist
  • La Palma, CA
National Provider Identifier
1164908836
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
67249 Issued in CA
Practice address
5420 La Palma Ave
La Palma, CA 90623-1705
Phone
(714) 822-3155
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 67249 CA Primary

Addresses

Primary practice location

5420 La Palma Ave
La Palma, CA 90623-1705

Mailing address

5420 La Palma Ave
La Palma, CA 90623-1705
Phone (714) 882-3155

Other practice location 1

12840 Beach Blvd
Stanton, CA 90680-4005
Phone (712) 230-0153

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

LicenseStateTypeSpecialty
67249CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walmart Inc. Past Accepting new patients
Walmart Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1164908836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 LA PALMA AVE",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231705",
            "telephone_number": "714-882-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 LA PALMA AVE",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231705",
            "telephone_number": "714-822-3155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12840 Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Stanton",
            "state": "CA",
            "postal_code": "906804005",
            "country_code": "US",
            "telephone_number": "712-230-0153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JENI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "67249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.