Active NPI
Thao Tran
- Pharmacist
- Osceola, IA
National Provider Identifier
1932723780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20618
- Practice address
- 2400 College Dr
Osceola, IA 50213-8235 - Phone
- (641) 342-1662
- NPI assigned
- Jun 7, 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 | 20618 | IA | Primary |
Addresses
Primary practice location
2400 College Dr
Osceola, IA 50213-8235
Mailing address
12609 Winston Ave
Urbandale, IA 50323-2381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20618 | Other | IA | STATE LICENSE |
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 |
|---|---|---|---|
| 20618 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 2
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": "1591488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591488000000",
"number": "1932723780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12609 WINSTON AVE",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503232381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 COLLEGE DR",
"city": "OSCEOLA",
"state": "IA",
"postal_code": "502138235",
"telephone_number": "641-342-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "THAO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-07",
"last_updated": "2020-06-07",
"certification_date": "2020-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "20618",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Osceola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.