Active NPI
Thao Mai Thi Tran
- Pharmacist
- Raceland, LA
National Provider Identifier
1477215283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 021944
- Practice address
- 4634 Highway 1 Ste B
Raceland, LA 70394-2623 - Phone
- (985) 537-3303
- Fax
- (985) 537-3393
- NPI assigned
- Oct 8, 2021
- Last updated
- Oct 8, 2021
- 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 | 021944 | LA | Primary |
Addresses
Primary practice location
4634 Highway 1 Ste B
Raceland, LA 70394-2623
Mailing address
4634 Highway 1 Ste B
Raceland, LA 70394-2623
Phone (985) 537-3303
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
| License | State | Type | Specialty |
|---|---|---|---|
| 021944 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Racelands Express LLC | Past | Accepting new patients | |
| Racelands Express, LLC | 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.
-
dba Raceland's Pharmacy Express
- Community/Retail Pharmacy
- Raceland, LA
- NPI 1164704102
-
dba Raceland's Pharmacy Express
- Community/Retail Pharmacy
- Raceland, LA
- NPI 1962784991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1477215283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4634 HIGHWAY 1 STE B",
"city": "RACELAND",
"state": "LA",
"postal_code": "703942623",
"telephone_number": "985-537-3303",
"fax_number": "985-537-3393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4634 HIGHWAY 1 STE B",
"city": "RACELAND",
"state": "LA",
"postal_code": "703942623",
"telephone_number": "985-537-3303",
"fax_number": "985-537-3393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "THAO MAI",
"middle_name": "THI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-08",
"last_updated": "2021-10-08",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "021944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raceland, LA
- Thibodaux Regional Network Development Corporation (Thibodaux Regional Multi-Specialty Clinic-Raceland)
- Grant Michael Thibodeaux, PT, DPT
- Christine C Thistlethwaite, PA
- Angelique Griffin Torres, ANP APPLICANT
- Carsyn Touzet
- Tuong-VI Thi Tran
- Tri-City Pharmacies, Inc. (Acadia Park Drugs)
- Chelsey Naquin Trosclair, MS, RDN, LDN
- Cynthia A Trosclair
- US Radiology Partners of Louisiana, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.