Active NPI
Martin Tran
- Pharmacist
- Renton, WA
National Provider Identifier
1245793645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60875268
- Practice address
- 275 Bronson Way NE
Renton, WA 98056-4030 - Phone
- (425) 254-2709
- NPI assigned
- Apr 11, 2019
- Sex
- Male
- 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 | PH60875268 | WA | Primary |
Addresses
Primary practice location
275 Bronson Way NE
Renton, WA 98056-4030
Mailing address
2208 S Eddy St
Seattle, WA 98108-3631
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 |
|---|---|---|---|
| PH60875268 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1245793645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 S EDDY ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981083631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 BRONSON WAY NE",
"city": "RENTON",
"state": "WA",
"postal_code": "980564030",
"telephone_number": "425-254-2709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MARTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-11",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60875268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.