Active NPI
Jackson Tran
- Pharmacist
- Garden Grove, CA
National Provider Identifier
1790555068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 88159
- Practice address
- 12440 Brookhurst St
Garden Grove, CA 92840-4712 - Phone
- (714) 537-8099
- NPI assigned
- Jan 8, 2024
- Sex
- Male
- 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 | 88159 | CA | Primary |
Addresses
Primary practice location
12440 Brookhurst St
Garden Grove, CA 92840-4712
Mailing address
12440 Brookhurst St
Garden Grove, CA 92840-4712
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DPD RX Inc | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1790555068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12440 BROOKHURST ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12440 BROOKHURST ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404712",
"telephone_number": "714-537-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "JACKSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "88159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.