Active NPI
Justin Wesley Tran, PHARMD
- Pharmacist
- Cottonwood Heights, UT
National Provider Identifier
1447861448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8339569-1701
- Practice address
- 2330 E Fort Union Blvd
Cottonwood Heights, UT 84121-3339 - Phone
- (801) 308-1013
- Fax
- (801) 308-1019
- NPI assigned
- Aug 12, 2020
- Sex
- Male
- 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 | 8339569-1701 | UT | Primary |
Addresses
Primary practice location
2330 E Fort Union Blvd
Cottonwood Heights, UT 84121-3339
Mailing address
2330 E Fort Union Blvd
Cottonwood Heights, UT 84121-3339
Phone (801) 308-1013
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 |
|---|---|---|---|
| 8339569-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2330 E Fort Union Blvd
Cottonwood Heights, UT 84121
Phone (801) 308-1013
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1447861448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 E FORT UNION BLVD",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "841213339",
"telephone_number": "801-308-1013",
"fax_number": "801-308-1019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 E FORT UNION BLVD",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "841213339",
"telephone_number": "801-308-1013",
"fax_number": "801-308-1019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "JUSTIN",
"middle_name": "WESLEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "8339569-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood Heights, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.