Active NPI
Phuong-Thanh Tra, RPH.
- Pharmacist
- Everett, WA
National Provider Identifier
1750611083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00039631
- Practice address
- 13110 Bothell-Everett Highway.
Everett, WA 98208 - Phone
- (425) 379-7274
- Fax
- (425) 385-8775
- NPI assigned
- Jan 8, 2010
- Sex
- Female
- Sole proprietor
- No
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 | PH00039631 | WA | Primary |
Addresses
Primary practice location
13110 Bothell-Everett Highway.
Everett, WA 98208
Mailing address
309 172ND PL SE
Mill Creek, WA 98012-9188
Phone (425) 742-3960
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00039631 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262908800000",
"number": "1750611083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 172ND PL SE",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980129188",
"telephone_number": "425-742-3960",
"fax_number": "425-742-3960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13110 BOTHELL-EVERETT HIGHWAY.",
"city": "EVERETT",
"state": "WA",
"postal_code": "98208",
"telephone_number": "425-379-7274",
"fax_number": "425-385-8775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRA",
"first_name": "PHUONG-THANH",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-08",
"last_updated": "2010-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00039631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.