Active NPI
Van Bach Tran
- Pharmacist
- Dorchester Center, MA
National Provider Identifier
1871875922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH27665
- Practice address
- 10 Hurlcroft Ave
Dorchester Center, MA 02124-4720 - Phone
- (857) 919-1363
- NPI assigned
- Sep 14, 2011
- Sex
- Female
- 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 | PH27665 | MA | Primary |
Addresses
Primary practice location
10 Hurlcroft Ave
Dorchester Center, MA 02124-4720
Mailing address
10 Hurlcroft Ave
Dorchester Center, MA 02124-4720
Phone (857) 919-1363
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 |
|---|---|---|---|
| PH27665 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1871875922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HURLCROFT AVE",
"city": "DORCHESTER CENTER",
"state": "MA",
"postal_code": "021244720",
"telephone_number": "857-919-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HURLCROFT AVE",
"city": "DORCHESTER CENTER",
"state": "MA",
"postal_code": "021244720",
"telephone_number": "857-919-1363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "VAN",
"middle_name": "BACH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-14",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH27665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester Center, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.