Amy Tran, PHARMD
Individual provider Active NPI Pharmacist · Bishop, CA
NPI 1982242590 · NPPES record last updated Dec 13, 2019
Key facts
- NPI
- 1982242590
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 81023 (CA)
- Practice address
- 1190 N Bishop St
Bishop, CA 93514 - Phone
- (760) 872-8114
- NPI assigned
- Dec 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81023 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 81023 | CA | Yes |
Addresses
Primary practice location
1190 N Bishop St
Bishop, CA 93514
Mailing address
374 E Pine St
Bishop, CA 93514-2835
Phone (562) 400-8331
NPI Registry JSON
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1982242590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "374 E PINE ST",
"city": "BISHOP",
"state": "CA",
"postal_code": "935142835",
"telephone_number": "562-400-8331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 N BISHOP ST",
"city": "BISHOP",
"state": "CA",
"postal_code": "93514",
"telephone_number": "760-872-8114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "AMY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-13",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "81023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bishop, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.