Active NPI
Philip Tran
- Pharmacist
- Hemet, CA
National Provider Identifier
1306257498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 70069
- Practice address
- 260 N Sanderson Ave
Hemet, CA 92545-3614 - Phone
- (714) 580-5084
- NPI assigned
- May 12, 2014
- Last updated
- May 12, 2014
- 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 | RPH 70069 | CA | Primary |
Addresses
Primary practice location
260 N Sanderson Ave
Hemet, CA 92545-3614
Mailing address
PO Box 2485
Garden Grove, CA 92842-2485
Phone (714) 580-5084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH 70069 | Other | CA | CALIFORNIA BOARD OF PHARMACY |
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 |
|---|---|---|---|
| RPH 70069 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1306257498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2485",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928422485",
"telephone_number": "714-580-5084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 N SANDERSON AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925453614",
"telephone_number": "714-580-5084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "PHILIP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-12",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 70069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF PHARMACY",
"identifier": "RPH 70069",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.