Individual provider Active NPI

Kelvin Vo Tran, PHARMD

  • Pharmacist
  • Garden Grove, CA
National Provider Identifier
1730665175
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03128100 Issued in NJ
Practice address
9823 Acacia Ave Apt C
Garden Grove, CA 92841-7210
Phone
(714) 468-2655
NPI assigned
Jul 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19583 NV
Pharmacist 183500000X 28RI03128100 NJ Primary

Addresses

Primary practice location

9823 Acacia Ave Apt C
Garden Grove, CA 92841-7210

Mailing address

9823 Acacia Ave Apt C
Garden Grove, CA 92841-7210
Phone (714) 468-2655

Other names 1

  • Kelvin Kiet Vo Tran Professional name

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
28RI03128100NJMDPharmacist
19583NVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1730665175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9823 ACACIA AVE APT C",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928417210",
            "telephone_number": "714-468-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9823 ACACIA AVE APT C",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928417210",
            "telephone_number": "714-468-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO TRAN",
        "first_name": "KELVIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "19583",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03128100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELVIN",
            "last_name": "VO TRAN",
            "middle_name": "KIET",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.