Individual provider Active NPI

DO Quyen Tran

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Huntsville, TX
National Provider Identifier
1417308735
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
58486 Issued in TX
Practice address
223 Ih 45 S
Huntsville, TX 77340-4903
Phone
(936) 999-7001
Fax
(936) 999-7002
NPI assigned
Jun 28, 2016
Last updated
Oct 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 58486 TX
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 58486 TX Primary

Addresses

Primary practice location

223 Ih 45 S
Huntsville, TX 77340-4903

Mailing address

223 Ih 45 S
Huntsville, TX 77340-4903
Phone (936) 999-7001

Other practice location 1

3312 E 29th St
Bryan, TX 77802-2730
Phone (979) 776-9128

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

LicenseStateTypeSpecialty
58486TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1417308735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 IH 45 S",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404903",
            "telephone_number": "936-999-7001",
            "fax_number": "939-999-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 IH 45 S",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404903",
            "telephone_number": "936-999-7001",
            "fax_number": "936-999-7002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3312 E 29th St",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778022730",
            "country_code": "US",
            "telephone_number": "979-776-9128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "DO QUYEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "58486",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "58486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.