Active NPI
Huyentran Ta, PHARM. D
- Pharmacist
- Reisterstown, MD
National Provider Identifier
1336696244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24448
- Practice address
- 750 Main St
Reisterstown, MD 21136-2515 - Phone
- (410) 526-2960
- Fax
- (410) 526-3965
- NPI assigned
- Sep 8, 2016
- 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 | 24448 | MD | Primary |
Addresses
Primary practice location
750 Main St
Reisterstown, MD 21136-2515
Mailing address
1631 Dual Hwy
Hagerstown, MD 21740-6545
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 |
|---|---|---|---|
| 24448 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1336696244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 DUAL HWY",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MAIN ST",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211362515",
"telephone_number": "410-526-2960",
"fax_number": "410-526-3965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TA",
"first_name": "HUYENTRAN",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-08",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "24448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reisterstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.