Active NPI
Kristy Thanh Van Tran, PHARM.D.
- Pharmacist
- Chandler, AZ
National Provider Identifier
1689119620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S013076
- Practice address
- 1375 S Arizona Ave
Chandler, AZ 85286-6500 - Phone
- (480) 364-1568
- NPI assigned
- Dec 29, 2016
- 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 | S013076 | AZ | Primary |
Addresses
Primary practice location
1375 S Arizona Ave
Chandler, AZ 85286-6500
Mailing address
4038 N Terra Mesa Cir
Mesa, AZ 85207-1475
Phone (480) 364-1568
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
| License | State | Type | Specialty |
|---|---|---|---|
| S013076 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sam'S Club/Walmart | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Chandler, AZ
- NPI 1023560166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482969600000",
"number": "1689119620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4038 N TERRA MESA CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852071475",
"telephone_number": "480-364-1568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 S ARIZONA AVE",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852866500",
"telephone_number": "480-364-1568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "KRISTY",
"middle_name": "THANH VAN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-29",
"last_updated": "2016-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S013076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.