Active NPI
Yen Tran, PHARM.D
- Pharmacist
- Jackson, CA
National Provider Identifier
1306243159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71111
- Practice address
- 10355 Wicklow Way
Jackson, CA 95642-9324 - Phone
- (209) 223-5193
- NPI assigned
- Nov 21, 2014
- Last updated
- Nov 21, 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 | 71111 | CA | Primary |
Addresses
Primary practice location
10355 Wicklow Way
Jackson, CA 95642-9324
Mailing address
14930 Venado Dr
Rancho Murieta, CA 95683-9322
Phone (530) 219-8160
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 |
|---|---|---|---|
| 71111 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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, 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": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1306243159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14930 VENADO DR",
"city": "RANCHO MURIETA",
"state": "CA",
"postal_code": "956839322",
"telephone_number": "530-219-8160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10355 WICKLOW WAY",
"city": "JACKSON",
"state": "CA",
"postal_code": "956429324",
"telephone_number": "209-223-5193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "YEN",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-21",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "71111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, CA
- Thomas Alan Bowhay (Gold Country Urgent Care)
- Thomas Bowhay MD & Terrence C Turpen Pac
- Thomas Bowhay, M.D.
- Lisa Watkins Tomlinson, NP, RN
- Thuc Linh Tran, RPH
- Jaime Dawn Trassare
- Melanie M Trowbridge, MD
- Trumania Inc
- Sharon Thao VI Tu, DMD
- United Home Care of Northern California, LC (United Personal Care Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.