Active NPI
Alexis My-Huyen Tran
- Pharmacist
- Pensacola, FL
National Provider Identifier
1497527063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS66465
- Practice address
- 811 N Fairfield Dr
Pensacola, FL 32506-4360 - Phone
- (850) 453-3208
- NPI assigned
- Oct 26, 2023
- 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 | PS66465 | FL | Primary |
Addresses
Primary practice location
811 N Fairfield Dr
Pensacola, FL 32506-4360
Mailing address
5017 Tulip Dr
Pensacola, FL 32506-4167
Phone (850) 291-7172
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 |
|---|---|---|---|
| PS66465 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1497527063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5017 TULIP DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325064167",
"telephone_number": "850-291-7172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 N FAIRFIELD DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325064360",
"telephone_number": "850-453-3208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "ALEXIS",
"middle_name": "MY-HUYEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-26",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS66465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.