Active NPI
Tram Jordaan
- Pharmacist
- La Habra, CA
National Provider Identifier
1902279862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71187
- Practice address
- 777 S Habor Blvd Ste E164
La Habra, CA 90631 - Phone
- (323) 586-0638
- NPI assigned
- Nov 1, 2015
- Last updated
- Oct 6, 2020
- 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 | 71187 | CA | Primary |
Addresses
Primary practice location
777 S Habor Blvd Ste E164
La Habra, CA 90631
Mailing address
777 S Habor Blvd Ste E164
La Habra, CA 90631
Other names 1
- Tram Nguyen
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | 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": "1446336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1902279862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 S HABOR BLVD STE E164",
"city": "LA HABRA",
"state": "CA",
"postal_code": "90631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 S HABOR BLVD STE E164",
"city": "LA HABRA",
"state": "CA",
"postal_code": "90631",
"telephone_number": "323-586-0638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAAN",
"first_name": "TRAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-01",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "71187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRAM",
"last_name": "NGUYEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in La Habra, CA
- Romeo Villarosa Jimenez Jr., DDS
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- Johanne Baluyot DDS Inc
- Sean Jones Jr.
- Shelby Brooke Jones, MS
- Matthew C Jordin, DC
- Josephine Aguda, DDS, a Dental Corporation
- Mike C Jou, D.P.M.
- Julia Nhung Phan Yeung, O.D., Professional Corporation
- Julia Spratt, Speech Pathologist, Inc. (Creative Communication Speech Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.