Dat Thanh Tran, B.S. PHARMACY

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

12735 Issued in MD

Practice address

2401 Cleanleigh Dr
Parkville, MD 21234-6808

Phone

(410) 668-0980

Fax

(410) 668-1599

NPI assigned

Feb 11, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shoprite of Perring Parkway LLC

  • Community/Retail Pharmacy
  • Parkville, MD
  • NPI 1679843361
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1336317544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 FALLSTON RD",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210471415",
            "telephone_number": "443-455-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 CLEANLEIGH DR",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212346808",
            "telephone_number": "410-668-0980",
            "fax_number": "410-668-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DAT",
        "middle_name": "THANH",
        "name_prefix": "Mr.",
        "credential": "B.S. PHARMACY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02184800",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MD",
            "license": "12735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST REGISTRATION N",
            "identifier": "12735",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST REGISTRATION N",
            "identifier": "28RI02184800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vance G Tinkler Jr.
• TLC Journey
• Alexandra Tocker, PHARMD
• Total Access Rehabilitation Center LLC
• Krista A Trahan, LCSW-C
• Tranquil Behavioral Health, LLC
• Cheryl Lynn Travers
• True Phoenix Community Care, LLC
• Zaire Trusty
• Julie Tschammer-Osten, OTR/L

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Parkville, MD
• Providers in Parkville, MD by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.