Tran Ngoc Tran, PHARM.D.
Individual provider Active NPI Pharmacist · Crownpoint, NM
NPI 1275762148 · NPPES record last updated Jul 13, 2009
Key facts
- NPI
- 1275762148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 56132 (CA)
- Practice address
- Junction of State Hwy 371 and Navajo RT 9
Crownpoint, NM 87313 - Phone
- (505) 786-5291
- NPI assigned
- Jul 13, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 56132 | CA | Yes |
Addresses
Primary practice location
Junction of State Hwy 371 and Navajo RT 9
Crownpoint, NM 87313
Mailing address
3173 Whiteleaf Way
San Jose, CA 95148-3061
Phone (408) 565-5787
Other providers in Crownpoint, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.