Active NPI
Myan Tran
- Pharmacist
- San Anselmo, CA
National Provider Identifier
1487193850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH76248
- Practice address
- 820 Sir Francis Drake Blvd
San Anselmo, CA 94960-1906 - Phone
- (415) 482-0191
- NPI assigned
- Feb 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | RPH76248 | CA | Primary |
Addresses
Primary practice location
820 Sir Francis Drake Blvd
San Anselmo, CA 94960-1906
Mailing address
PO Box 655
Sausalito, CA 94966-0655
Phone (408) 506-8955
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 |
|---|---|---|---|
| RPH76248 | CA | MD | Pharmacist |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487376000000",
"number": "1487193850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 655",
"city": "SAUSALITO",
"state": "CA",
"postal_code": "949660655",
"telephone_number": "408-506-8955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 SIR FRANCIS DRAKE BLVD",
"city": "SAN ANSELMO",
"state": "CA",
"postal_code": "949601906",
"telephone_number": "415-482-0191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MYAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-18",
"last_updated": "2017-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH76248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Anselmo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.