Active NPI
Krystal Tran
- Pharmacist
- Fountain Valley, CA
National Provider Identifier
1750637203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67006
- Practice address
- 15919 Mount Mitchell Cir
Fountain Valley, CA 92708-1310 - Phone
- (818) 572-5801
- NPI assigned
- Aug 1, 2012
- Last updated
- Nov 4, 2022
- 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 | 67006 | CA | Primary |
Addresses
Primary practice location
15919 Mount Mitchell Cir
Fountain Valley, CA 92708-1310
Mailing address
21716 Schoenborn St
Canoga Park, CA 91304-3435
Phone (818) 572-5801
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67006 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K2 Pharmacy, Inc | Current | 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, 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": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1750637203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21716 SCHOENBORN ST",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913043435",
"telephone_number": "818-572-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15919 MOUNT MITCHELL CIR",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081310",
"telephone_number": "818-572-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "KRYSTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-01",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "67006",
"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 Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.