Active NPI
Emily My an Thi Tran, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Kenmore, WA
National Provider Identifier
1477078236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PH60758382
- Practice address
- 6414 NE Bothell Way
Kenmore, WA 98028-4819 - Phone
- (425) 486-7711
- NPI assigned
- Aug 13, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60758382 | WA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH60758382 | WA | Primary |
Addresses
Primary practice location
6414 NE Bothell Way
Kenmore, WA 98028-4819
Mailing address
388 Rodeo CT
San Jose, CA 95111-2250
Phone (408) 667-1887
Other practice location 1
20307 Mountain Hwy E
Spanaway, WA 98387-8101
Phone (408) 667-1887
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 |
|---|---|---|---|
| PH60758382 | WA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ostroms Enterprises Inc | Current | Accepting new patients | |
| Ostroms Enterprises Inc | Past | Accepting new patients |
Locations
6414 NE Bothell Way
Kenmore, WA 98028
Phone (425) 486-7711
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.
-
- Long Term Care Pharmacy
- Kenmore, WA
- NPI 1396499026
-
- Community/Retail Pharmacy
- Kenmore, WA
- NPI 1285608729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657929600000",
"number": "1477078236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 RODEO CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951112250",
"telephone_number": "408-667-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6414 NE BOTHELL WAY",
"city": "KENMORE",
"state": "WA",
"postal_code": "980284819",
"telephone_number": "425-486-7711"
}
],
"practiceLocations": [
{
"address_1": "20307 Mountain Hwy E",
"address_purpose": "LOCATION",
"city": "Spanaway",
"state": "WA",
"postal_code": "983878101",
"country_code": "US",
"telephone_number": "408-667-1887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "EMILY MY AN",
"middle_name": "THI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-13",
"last_updated": "2022-07-16",
"certification_date": "2022-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60758382",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH60758382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenmore, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.