Active NPI
Thanh Tran
- Pharmacist
- Bryan, TX
National Provider Identifier
1992005987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52217
- Practice address
- 1901 S Texas Ave
Walmart Neighborhood Market Pharmacy
Bryan, TX 77802-1832 - Phone
- (979) 599-5562
- NPI assigned
- Oct 25, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP043227L | PA | |
| Pharmacist | 183500000X | 52217 | TX | Primary |
Addresses
Primary practice location
1901 S Texas Ave
Walmart Neighborhood Market Pharmacy
Bryan, TX 77802-1832
Mailing address
1901 S Texas Ave
Walmart Neighborhood Market Pharmacy
Bryan, TX 77802-1832
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 |
|---|---|---|---|
| RP043227L | PA | MD | Pharmacist |
| 52217 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1992005987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 S TEXAS AVE",
"address_2": "WALMART NEIGHBORHOOD MARKET PHARMACY",
"city": "BRYAN",
"state": "TX",
"postal_code": "778021832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S TEXAS AVE",
"address_2": "WALMART NEIGHBORHOOD MARKET PHARMACY",
"city": "BRYAN",
"state": "TX",
"postal_code": "778021832",
"telephone_number": "979-599-5562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "THANH",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-25",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP043227L",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "52217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.