Individual provider Active NPI

Tram Hoang Nguyen, PHARM .D

  • Pharmacotherapy Pharmacist
  • Henderson, NV
National Provider Identifier
1447903265
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
20053 Issued in NV
Practice address
1510 W Sunset Rd Ste 120
Henderson, NV 89014-2695
Phone
(702) 476-6996
Fax
(702) 476-6766
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 20053 NV Primary

Addresses

Primary practice location

1510 W Sunset Rd Ste 120
Henderson, NV 89014-2695

Mailing address

4265 Village Hills St
Las Vegas, NV 89147-7891

Other identifiers 1

IdentifierTypeStateIssuer
20053OtherNVPHARM.D LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cpr+ Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
20053NVMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gtmi Corporation CurrentSince Feb 6, 2022 Accepting new patients

Locations

1510 W Sunset Rd
Ste 120
Henderson, NV 89014
Phone (702) 476-6996

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1447903265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 VILLAGE HILLS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 W SUNSET RD STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142695",
            "telephone_number": "702-476-6996",
            "fax_number": "702-476-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRAM",
        "middle_name": "HOANG",
        "credential": "PHARM .D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NV",
            "license": "20053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARM.D LICENSE",
            "identifier": "20053",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cpr+",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "1510 W Sunset Rd Ste 120",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890142695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.