Stuart Tran

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Clute, TX

NPI 1508496159 · NPPES record last updated Jan 23, 2020

Key facts

NPI
1508496159
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
59746 (TX)
Practice address
800 N Dixie Dr
Clute, TX 77531-1490
Phone
(979) 529-4392
NPI assigned
Jan 23, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
59746TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Texas L P Past
since Jan 26, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 59746 TX Yes

Addresses

Primary practice location

800 N Dixie Dr
Clute, TX 77531-1490

Mailing address

800 N Dixie Dr
Clute, TX 77531-1490
Phone (979) 529-4392

Other providers in Clute, TX

All providers in Clute, TX · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

Sources for this page

Verify at the official NPI Registry.