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

LicenseStateTypeSpecialty
81023CAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 13, 2019.

{
    "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

All providers in Bishop, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.