Beatle Thien-Phuoc Tran, PHARMD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 470830 Issued in CA

Practice address

1029 Jefferson Blvd
Suite a
West Sacramento, CA 95691-3344

Phone

(916) 371-2022

Fax

(916) 371-2027

NPI assigned

Aug 24, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Grant Line Pharmacy Inc

  dba Grant Line Pharmacy

  • Community/Retail Pharmacy
  • Tracy, CA
  • NPI 1386816205
  NPD Authorized official
• Jefferson Pharmacy

  • Long Term Care Pharmacy
  • West Sacramento, CA
  • NPI 1487237103
  Authorized official Same address or phone
• Jefferson Pharmacy

  • Long Term Care Pharmacy
  • West Sacramento, CA
  • NPI 1528640372
  Authorized official Same address or phone
• Jefferson Pharmacy

  • Community/Retail Pharmacy
  • West Sacramento, CA
  • NPI 1699357335
  Authorized official Same address or phone
• Jefferson Pharmacy

  • Community/Retail Pharmacy
  • West Sacramento, CA
  • NPI 1699846774
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1821081910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 JEFFERSON BLVD",
            "address_2": "SUITE A",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913344",
            "telephone_number": "916-371-2022",
            "fax_number": "916-371-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 JEFFERSON BLVD",
            "address_2": "SUITE A",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913344",
            "telephone_number": "916-371-2022",
            "fax_number": "916-371-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "BEATLE",
        "middle_name": "THIEN-PHUOC",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "5527150001",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 50909",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 470830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0550017",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA 470830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSURE CA",
            "identifier": "RPH 50909",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "PHY 47083",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esmeralda Torres Ramirez, DDS
• Sharon A Torres, PA-C
• Theresa Torres, MFTI
• Roslyn Rozella Trahan
• Simone Lopes Tramma, M.D.
• Danh Phuc Tran, PHARM D
• Hong Tran
• Julie Tran, PHARM.D.
• Quan Tran, RPH
• Tari Leanne Tribble, PA-C

• Community/Retail Pharmacy in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.