Individual provider Active NPI

Phuong Trang T Tran

  • Pharmacy Technician
  • Seattle, WA
National Provider Identifier
1639836760
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
VA00058430 Issued in WA
Practice address
7101 Martin Luther King Jr Way S Ste 101B
Seattle, WA 98118-3591
Phone
(206) 721-5009
Fax
(206) 721-3931
NPI assigned
Nov 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X VA00058430 WA Primary

Addresses

Primary practice location

7101 Martin Luther King Jr Way S Ste 101B
Seattle, WA 98118-3591

Mailing address

7101 Martin Luther King Jr Way S Ste 101B
Seattle, WA 98118-3591
Phone (206) 721-5009

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

LicenseStateTypeSpecialty
VA00058430WAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
KP Pharmacy & Medical Supplies LLC Current Accepting new patients
Tran Medical Supply LLC Current Accepting new patients

Locations

7101 Ml King Jr Way S
Ste 101B
Seattle, WA 98118
Phone (206) 721-5009

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.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1639836760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 MARTIN LUTHER KING JR WAY S STE 101B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183591",
            "telephone_number": "206-721-5009",
            "fax_number": "206-721-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 MARTIN LUTHER KING JR WAY S STE 101B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183591",
            "telephone_number": "206-721-5009",
            "fax_number": "206-721-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PHUONG TRANG",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WA",
            "license": "VA00058430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.