Active NPI
Regina Myra Tran
- Pharmacist
- Grand Terrace, CA
National Provider Identifier
1962165977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85368
- Practice address
- 22456 Barton Rd
Grand Terrace, CA 92313-5009 - Phone
- (909) 824-2619
- NPI assigned
- Oct 17, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 85368 | CA | Primary |
Addresses
Primary practice location
22456 Barton Rd
Grand Terrace, CA 92313-5009
Mailing address
25281 Park Ave Apt L22
Loma Linda, CA 92354-2373
Phone (714) 724-2028
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
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 |
|---|---|---|---|
| 85368 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
22456 Barton Rd
Grand Terrace, CA 92313
Phone (909) 824-2619
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634428800000",
"number": "1962165977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25281 PARK AVE APT L22",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542373",
"telephone_number": "714-724-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22456 BARTON RD",
"city": "GRAND TERRACE",
"state": "CA",
"postal_code": "923135009",
"telephone_number": "909-824-2619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "REGINA",
"middle_name": "MYRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-17",
"last_updated": "2021-10-17",
"certification_date": "2021-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85368",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "22456 Barton Rd",
"city": "Grand Terrace",
"state": "CA",
"country_code": "US",
"postal_code": "923135009",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Terrace, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.