TT Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

53654 Issued in CA

Legal business name

TT PHARMACY

Practice address

1863 Alum Rock Ave Ste a
San Jose, CA 95116-1397

Phone

(408) 929-6029

Fax

(408) 929-6145

NPI assigned

Sep 18, 2015

Organization subpart

No

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

Authorized official

Name

Tiffany Tran, PHARM D

Title

President

Phone

(408) 929-6029

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Creekside Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany Thy Nguyen, PHARMD

  • Pharmacist
  • San Jose, CA
  • NPI 1780955880
  NPD
• Ba Dinh Tran, RPH

  • Pharmacist
  • San Jose, CA
  • NPI 1194712745
  NPD (past)

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1497124689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1863 ALUM ROCK AVE STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161397",
            "telephone_number": "408-929-6029",
            "fax_number": "408-929-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1863 ALUM ROCK AVE STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161397",
            "telephone_number": "408-929-6029",
            "fax_number": "408-929-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-929-6029",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "53654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154204",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Irina Tsukanova, CADC I
• Shuzing Tsung
• Masaaki Tsuruike, PHD, ATC
• Bradley Yasuyuki Tsutsui, DDS
• Alice Nicole Tsvinev
• Tu Nguyen Mjas Medical Corporation
• Alina Tu
• Danielle Christine Tu
• David Tu
• Harrison Tu

• Community/Retail Pharmacy in San Jose, CA
• Providers in San Jose, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.