Active NPI
Tuong Tran
- Pharmacist
- Clearwater, FL
National Provider Identifier
1659945996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS47953
- Practice address
- 1235 S Misouri Ave
Clearwater, FL 33756-9111 - Phone
- (727) 581-5400
- NPI assigned
- May 19, 2021
- Last updated
- May 19, 2021
- 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 | PS47953 | FL | Primary |
Addresses
Primary practice location
1235 S Misouri Ave
Clearwater, FL 33756-9111
Mailing address
1606 Regal Mist Loop
Trinity, FL 34655-4971
Phone (617) 771-1446
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 |
|---|---|---|---|
| PS47953 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylife Pharmacy Inc | Current | Accepting new patients | |
| Baylife Pharmacy Inc | Past | Accepting new patients |
Locations
1235 S Missouri Ave
Clearwater, FL 33756
Phone (727) 581-5400
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1659945996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 REGAL MIST LOOP",
"city": "TRINITY",
"state": "FL",
"postal_code": "346554971",
"telephone_number": "617-771-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 S MISOURI AVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337569111",
"telephone_number": "727-581-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "TUONG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS47953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.