Active NPI
Thinh Hung Tran, PHARM D
- Pharmacist
- Fountain Valley, CA
National Provider Identifier
1861080863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56239
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982919478 | Medicaid | CA |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 56239 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Healthy Living Pharmacy Inc | Past | Accepting new patients | |
| Harbor Healthy Living Pharmacy Inc | Past | Accepting new patients | |
| Harbor Healthy Living Pharmacy Inc | Past | 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.
-
- Community/Retail Pharmacy
- Santa Ana, CA
- NPI 1720678675
-
- Community/Retail Pharmacy
- Fountain Valley, CA
- NPI 1760757439
-
- Community/Retail Pharmacy
- Santa Ana, CA
- NPI 1982919478
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.