Active NPI
Trang Mai Tran, PHARMD.
- Pharmacist
- Macon, GA
National Provider Identifier
1386240679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH032093
- Practice address
- 4585 Hartley Bridge Rd
Macon, GA 31216-5501 - Phone
- (478) 781-9818
- NPI assigned
- Dec 10, 2020
- Sex
- Female
- 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 | RPH032093 | GA | Primary |
Addresses
Primary practice location
4585 Hartley Bridge Rd
Macon, GA 31216-5501
Mailing address
1109 Fort Marcy Park
Lawrenceville, GA 30044-3488
Phone (678) 637-6962
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Macon |
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 |
|---|---|---|---|
| RPH032093 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1386240679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 FORT MARCY PARK",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300443488",
"telephone_number": "678-637-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4585 HARTLEY BRIDGE RD",
"city": "MACON",
"state": "GA",
"postal_code": "312165501",
"telephone_number": "478-781-9818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "TRANG",
"middle_name": "MAI",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH032093",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Macon",
"affiliation": "N",
"address_1": "4585 Hartley Bridge Rd",
"city": "Macon",
"state": "GA",
"country_code": "US",
"postal_code": "312165501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.