Active NPI
Tri Minh Tran, PHARMACY DOCTORATE
- Pharmacist
- Hawthorne, CA
National Provider Identifier
1871938068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67990
- Practice address
- 11983 Hawthorne Blvd
Hawthorne, CA 90250-3015 - Phone
- (310) 349-0130
- NPI assigned
- May 2, 2013
- Last updated
- Feb 13, 2014
- 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 | 67990 | CA | Primary |
Addresses
Primary practice location
11983 Hawthorne Blvd
Hawthorne, CA 90250-3015
Mailing address
15914 Benichia Cir
Fountain Valley, CA 92708-1001
Phone (262) 664-3979
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 |
|---|---|---|---|
| 67990 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1871938068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15914 BENICHIA CIR",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081001",
"telephone_number": "262-664-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11983 HAWTHORNE BLVD",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902503015",
"telephone_number": "310-349-0130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "TRI",
"middle_name": "MINH",
"credential": "PHARMACY DOCTORATE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-02",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "67990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.