Individual provider Active NPI

Phu Trong Tran, RPH DPH

  • Pharmacist
  • San Bernardino, CA
National Provider Identifier
1881683191
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY37070 Issued in CA
Practice address
385 E Mill St
Ste 14
San Bernardino, CA 92408-1548
Phone
(909) 387-0932
Fax
(909) 381-3592
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHY37070 CA Primary

Addresses

Primary practice location

385 E Mill St
Ste 14
San Bernardino, CA 92408-1548

Mailing address

385 E Mill St
Ste 14
San Bernardino, CA 92408-1548
Phone (909) 387-0932

Other identifiers 2

IdentifierTypeStateIssuer
PHA370700MedicaidCA
0546931OtherNAPB

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PHY37070CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881683191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 E MILL ST",
            "address_2": "STE 14",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924081548",
            "telephone_number": "909-387-0932",
            "fax_number": "909-381-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 E MILL ST",
            "address_2": "STE 14",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924081548",
            "telephone_number": "909-387-0932",
            "fax_number": "909-381-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PHU",
        "middle_name": "TRONG",
        "name_prefix": "Mr.",
        "credential": "RPH DPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY37070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA370700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPB",
            "identifier": "0546931",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.