Active NPI
Thuy Thanh Tran Dac
- Pharmacist
- Henderson, NV
National Provider Identifier
1457636342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17658
- Practice address
- 11001 S Eastern Ave
Henderson, NV 89052-2954 - Phone
- (702) 948-8355
- NPI assigned
- Oct 12, 2011
- Last updated
- Oct 12, 2011
- Sex
- Female
- 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 | 17658 | NV | Primary |
Addresses
Primary practice location
11001 S Eastern Ave
Henderson, NV 89052-2954
Mailing address
110 Cricklewood Ave
Henderson, NV 89002-9287
Phone (702) 292-9749
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, 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": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1457636342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CRICKLEWOOD AVE",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890029287",
"telephone_number": "702-292-9749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11001 S EASTERN AVE",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522954",
"telephone_number": "702-948-8355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN DAC",
"first_name": "THUY",
"middle_name": "THANH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-12",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "17658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.