Individual provider Active NPI

Vy Vuong Tran, PHARM.D

  • Pharmacist
  • Mableton, GA
National Provider Identifier
1720369937
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
183500000X Issued in GA
Practice address
4916 Chimney Oaks Dr SE
Mableton, GA 30126-5951
Phone
(770) 222-2897
Fax
(770) 222-3713
NPI assigned
Aug 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 183500000X GA Primary

Addresses

Primary practice location

4916 Chimney Oaks Dr SE
Mableton, GA 30126-5951

Mailing address

4916 Chimney Oaks Dr SE
Mableton, GA 30126-5951
Phone (770) 222-2897

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
183500000XGAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1720369937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 CHIMNEY OAKS DR SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265951",
            "telephone_number": "770-222-2897",
            "fax_number": "770-222-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 CHIMNEY OAKS DR SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265951",
            "telephone_number": "770-222-2897",
            "fax_number": "770-222-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "VY",
        "middle_name": "VUONG",
        "name_prefix": "Ms.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "183500000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.