Active NPI
Kim Thi Tran
- Pharmacist
- Ontario, CA
National Provider Identifier
1770113201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44429
- Practice address
- 2456 S Grove Ave
Ontario, CA 91761-6224 - Phone
- (909) 947-9390
- NPI assigned
- Jan 23, 2020
- 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 | 44429 | CA | Primary |
Addresses
Primary practice location
2456 S Grove Ave
Ontario, CA 91761-6224
Mailing address
5517 Pine Ave
Chino Hills, CA 91709-6504
Other practice location 1
2456 S Grove Ave
Ontario, CA 91761-6224
Phone (909) 947-9390
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 |
|---|---|---|---|
| 44429 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1770113201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5517 PINE AVE",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917096504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2456 S GROVE AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917616224",
"telephone_number": "909-947-9390"
}
],
"practiceLocations": [
{
"address_1": "2456 S Grove Ave",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917616224",
"country_code": "US",
"telephone_number": "909-947-9390",
"fax_number": "909-923-3338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "KIM",
"middle_name": "THI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-23",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "44429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.