Individual provider Active NPI

Kevin Quang Tran, PHARM.D.

  • Pharmacist
  • Fountain Valley, CA
National Provider Identifier
1740643964
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY56316 Issued in CA
Practice address
10810 Warner Ave Ste 3
Fountain Valley, CA 92708-3848
Phone
(714) 465-2431
Fax
(714) 465-9744
NPI assigned
Apr 4, 2016
Last updated
Apr 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHY56316 CA Primary

Addresses

Primary practice location

10810 Warner Ave Ste 3
Fountain Valley, CA 92708-3848

Mailing address

10810 Warner Ave Ste 3
Fountain Valley, CA 92708-3848
Phone (714) 465-2431

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
PHY56316CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Xpress Pharmacy Inc Current Accepting new patients
TLC Xpress Pharmacist Current Accepting new patients

Locations

10810 Warner Ave
Ste 3
Fountain Valley, CA 92708
Phone (714) 465-2431

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1740643964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 WARNER AVE STE 3",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083848",
            "telephone_number": "714-465-2431",
            "fax_number": "714-465-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 WARNER AVE STE 3",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083848",
            "telephone_number": "714-465-2431",
            "fax_number": "714-465-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KEVIN",
        "middle_name": "QUANG",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY56316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.