Active NPI
Jason Tran
- Pharmacist
- Arcadia, CA
National Provider Identifier
1508301490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54257
- Practice address
- 188 Las Tunas Dr
Arcadia, CA 91007-8512 - Phone
- (626) 446-8830
- Fax
- (626) 446-9941
- NPI assigned
- Dec 30, 2016
- Sex
- Male
- 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 | 54257 | CA | Primary |
Addresses
Primary practice location
188 Las Tunas Dr
Arcadia, CA 91007-8512
Mailing address
188 Las Tunas Dr
Arcadia, CA 91007-8512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 352243093 | Other | CA | TAX ID |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach 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 and National Provider Directory roles.
-
- Pharmacy
- Arcadia, CA
- NPI 1871534784
-
- Pharmacy
- Jurupa Valley, CA
- NPI 1780573113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483056000000",
"number": "1508301490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 LAS TUNAS DR",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910078512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 LAS TUNAS DR",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910078512",
"telephone_number": "626-446-8830",
"fax_number": "626-446-9941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-30",
"last_updated": "2016-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "54257",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "352243093",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.