Active NPI
Jasmine Phuong Dung Tran
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1841700655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S022849
- Practice address
- 1315 E Chandler Blvd
Phoenix, AZ 85048-6284 - Phone
- (480) 460-3945
- NPI assigned
- Oct 6, 2017
- 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 | S022849 | AZ | Primary |
Addresses
Primary practice location
1315 E Chandler Blvd
Phoenix, AZ 85048-6284
Mailing address
555 N College Ave Apt 2011
Tempe, AZ 85281-0187
Phone (714) 651-0536
Other practice location 1
3502 W Camelback Rd
Phoenix, AZ 85019-2707
Phone (602) 973-5984
Other names 1
- Jasmine Tran
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 |
|---|---|---|---|
| S022849 | AZ | 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 and National Provider Directory roles.
-
- Pharmacy
- Phoenix, AZ
- NPI 1740296110
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1841700655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N COLLEGE AVE APT 2011",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852810187",
"telephone_number": "714-651-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 E CHANDLER BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850486284",
"telephone_number": "480-460-3945"
}
],
"practiceLocations": [
{
"address_1": "3502 W Camelback Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850192707",
"country_code": "US",
"telephone_number": "602-973-5984",
"fax_number": "602-973-4169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "JASMINE",
"middle_name": "PHUONG DUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-06",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S022849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JASMINE",
"last_name": "TRAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.