Khanh Ngoc Doan Tran

Primary specialty

PharmacistTaxonomy code 183500000X

License

69437 Issued in TX

Practice address

2735 S State Highway 36
Gatesville, TX 76528-2715

Phone

(254) 865-2089

NPI assigned

Sep 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #11274

  • Pharmacy
  • Gatesville, TX
  • NPI 1427245083
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1407525520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 S STATE HIGHWAY 36",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765282715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 S STATE HIGHWAY 36",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765282715",
            "telephone_number": "254-865-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KHANH",
        "middle_name": "NGOC DOAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "69437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefany Tharp, PTA
• Therapy by Alice LLC
• Milton Odiwuor Togo, PA-C
• Timothy Metro Toker, LAT, CSCS
• James P Townson Jr., DPM
• Twinstar Dialysis LLC (Coryell Dialysis)
• Vision Concepts
• Kendra Joanna Wade, AGACNP
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0476)
• Wal-Mart Stores Texas, LP (Vision Center 30-0476)

• Pharmacist in Gatesville, TX
• Providers in Gatesville, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.