Active NPI
Phuc Tran, PHARMD
- Pharmacist
- New Haven, CT
National Provider Identifier
1861942021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24528
- Practice address
- 55 Park St
New Haven, CT 06511-5474 - Phone
- (717) 645-9935
- NPI assigned
- Oct 11, 2016
- 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 | 24528 | MD | Primary |
Addresses
Primary practice location
55 Park St
New Haven, CT 06511-5474
Mailing address
110 Huntington Ave Apt 1
New Haven, CT 06512-2653
Phone (717) 914-8315
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 |
|---|---|---|---|
| 24528 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1861942021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HUNTINGTON AVE APT 1",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065122653",
"telephone_number": "717-914-8315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 PARK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115474",
"telephone_number": "717-645-9935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "PHUC",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-11",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "24528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.