Active NPI
Thao Tran
- Pharmacist
- West Seneca, NY
National Provider Identifier
1629227137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 052843
- Practice address
- 355 Orchard Park Rd
West Seneca, NY 14224-2634 - Phone
- (716) 517-3003
- NPI assigned
- Sep 9, 2008
- 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 | 052843 | NY | Primary |
Addresses
Primary practice location
355 Orchard Park Rd
West Seneca, NY 14224-2634
Mailing address
141 Koester St
Buffalo, NY 14220-1447
Phone (716) 553-5456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052843 | Medicaid | NY |
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 |
|---|---|---|---|
| 052843 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1629227137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 KOESTER ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142201447",
"telephone_number": "716-553-5456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 ORCHARD PARK RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142242634",
"telephone_number": "716-517-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "THAO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "052843",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "052843",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.