Individual provider Active NPI

Nguyen-Khang Tran-Tan, PHARM.D.

  • Pharmacist
  • Fort Worth, TX
National Provider Identifier
1649690439
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
56959 Issued in TX
Practice address
7000 Calmont Ave
Fort Worth, TX 76116-4183
Phone
(682) 303-3138
NPI assigned
Apr 21, 2014
Last updated
Jun 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 37504 TN
Pharmacist 183500000X 56959 TX Primary

Addresses

Primary practice location

7000 Calmont Ave
Fort Worth, TX 76116-4183

Mailing address

1186 Kielder Cir
Fort Worth, TX 76134-4513
Phone (423) 999-7627

Other practice location 1

1 Cameron Hill Cir
Chattanooga, TN 37402-9815
Phone (423) 305-2328

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
56959TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1649690439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 KIELDER CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761344513",
            "telephone_number": "423-999-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 CALMONT AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761164183",
            "telephone_number": "682-303-3138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Cameron Hill Cir",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374029815",
            "country_code": "US",
            "telephone_number": "423-305-2328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN-TAN",
        "first_name": "NGUYEN-KHANG",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "37504",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "56959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.