Individual provider Active NPI

Thinh Hung Tran, PHARM D

  • Pharmacist
  • Fountain Valley, CA
National Provider Identifier
1861080863
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
56239 Issued in CA
Practice address
16040 Harbor Blvd Ste K
Fountain Valley, CA 92708-1327
Phone
(714) 531-9988
Fax
(714) 531-9987
NPI assigned
Jan 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 56239 CA Primary

Addresses

Primary practice location

16040 Harbor Blvd Ste K
Fountain Valley, CA 92708-1327

Mailing address

12601 Strathmore Dr
Garden Grove, CA 92840-5504
Phone (714) 623-1467

Other practice location 1

10900 Westminster Ave Ste 3
Garden Grove, CA 92843-4984
Phone (714) 537-0333

Other practice location 2

646 S Harbor Blvd
Santa Ana, CA 92704-1384
Phone (714) 531-8080

Other identifiers 1

IdentifierTypeStateIssuer
1982919478MedicaidCA

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL HEALTHYLIVINGPHARMACY@YAHOO.COM HARBOR HEALTHY LIVING PHARMACY INC
Other URL HEALTHYLIVINGPHARMACY@YAHOO.COM Harbor Healthy Living Pharmacy Inc
Other URL HARBORPHARMACY3@YAHOO.COM GG Pharmcare Inc

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
56239CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Healthy Living Pharmacy Inc Past Accepting new patients
Harbor Healthy Living Pharmacy Inc PastSince Jan 10, 2021 Accepting new patients
Harbor Healthy Living Pharmacy Inc PastSince Jan 10, 2021 Accepting new patients

Organizations & group practices 3

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1861080863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 STRATHMORE DR",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405504",
            "telephone_number": "714-623-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 HARBOR BLVD STE K",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081327",
            "telephone_number": "714-531-9988",
            "fax_number": "714-531-9987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10900 Westminster Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928434984",
            "country_code": "US",
            "telephone_number": "714-537-0333",
            "fax_number": "714-537-0333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "646 S Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927041384",
            "country_code": "US",
            "telephone_number": "714-531-8080",
            "fax_number": "714-531-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THINH",
        "middle_name": "HUNG",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "56239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982919478",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HEALTHYLIVINGPHARMACY@YAHOO.COM",
            "affiliation": "Y",
            "affiliationName": "HARBOR HEALTHY LIVING PHARMACY INC",
            "address_1": "646 S Harbor Blvd",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927041384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HEALTHYLIVINGPHARMACY@YAHOO.COM",
            "affiliation": "Y",
            "affiliationName": "Harbor Healthy Living Pharmacy Inc",
            "address_1": "16040 Harbor Blvd Ste K",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927081327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HARBORPHARMACY3@YAHOO.COM",
            "affiliation": "Y",
            "affiliationName": "GG Pharmcare Inc",
            "address_1": "10900 Westminster Ave Ste 3",
            "city": "Garden Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928434984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.