Active NPI
Phuong Tran
- Pharmacist
- Orange, CA
National Provider Identifier
1194142372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56922
- Practice address
- 2115 W Mills Dr
Orange, CA 92868-3429 - Phone
- (714) 264-1415
- NPI assigned
- Mar 25, 2014
- Last updated
- Mar 25, 2014
- Sex
- Female
- 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 | 56922 | CA | Primary |
Addresses
Primary practice location
2115 W Mills Dr
Orange, CA 92868-3429
Mailing address
2115 W Mills Dr
Orange, CA 92868-3429
Phone (714) 264-1415
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56922 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medi Ex Pharmacy, Inc | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1194142372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 W MILLS DR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683429",
"telephone_number": "714-264-1415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 W MILLS DR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683429",
"telephone_number": "714-264-1415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "PHUONG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-25",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "56922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.