Active NPI
Khang Tran, PHARM.D
- Pharmacist
- Kennesaw, GA
National Provider Identifier
1184904781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH025150
- Practice address
- 2779 N Cobb Pkwy
Kennesaw, GA 30152-3437 - Phone
- (770) 795-1838
- NPI assigned
- Aug 26, 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 | RPH025150 | GA | Primary |
Addresses
Primary practice location
2779 N Cobb Pkwy
Kennesaw, GA 30152-3437
Mailing address
4916 Chimney Oaks Dr SE
Mableton, GA 30126-5951
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH025150 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1184904781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4916 CHIMNEY OAKS DR SE",
"city": "MABLETON",
"state": "GA",
"postal_code": "301265951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2779 N COBB PKWY",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301523437",
"telephone_number": "770-795-1838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "KHANG",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-26",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH025150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.