Active NPI
Phuong Tran
- Pharmacist
- Sewell, NJ
National Provider Identifier
1760763064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03206500
- Practice address
- 500 Egg Harbor Rd
Sewell, NJ 08080-2336 - Phone
- (856) 256-7812
- NPI assigned
- Aug 31, 2011
- Last updated
- Aug 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 28RI03206500 | NJ | Primary |
Addresses
Primary practice location
500 Egg Harbor Rd
Sewell, NJ 08080-2336
Mailing address
46 Southgate Dr
Mount Laurel, NJ 08054-2935
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 |
|---|---|---|---|
| 28RI03206500 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314748800000",
"number": "1760763064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 SOUTHGATE DR",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080542935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 EGG HARBOR RD",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802336",
"telephone_number": "856-256-7812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "PHUONG",
"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": "NJ",
"license": "28RI03206500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sewell, NJ
- Toprom LLC (nathman pharmacy)
- Township Sports Therapy & Work Hardening, P.C.
- TR Counseling LLC
- Training Room of Washington Township, LLC (The Training Room)
- Alan Tran
- Treiman Family Medicine Limited Liability Company
- Arthur M Treiman, MD
- Trinity Rehab Somerset PA (Trinity Rehab Sewell)
- Kendall Audrey Trotman
- Nickolas M Tyris, M.D.
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.