Individual provider Active NPI

Thuc Linh Tran, RPH

  • Pharmacist
  • Jackson, CA
National Provider Identifier
1992451736
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
85941 Issued in CA
Practice address
515 S State Highway 49
Jackson, CA 95642-2534
Phone
(209) 223-3784
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 85941 CA Primary

Addresses

Primary practice location

515 S State Highway 49
Jackson, CA 95642-2534

Mailing address

51 Wellness Way
Valley Springs, CA 95252-9736
Phone (209) 584-9088

Other practice location 1

51 Wellness Way
Valley Springs, CA 95252-9736
Phone (209) 584-9088

Other names 1

  • Linh Tran Other name

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
85941CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1992451736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WELLNESS WAY",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952529736",
            "telephone_number": "209-584-9088",
            "fax_number": "209-772-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S STATE HIGHWAY 49",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422534",
            "telephone_number": "209-223-3784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Wellness Way",
            "address_purpose": "LOCATION",
            "city": "Valley Springs",
            "state": "CA",
            "postal_code": "952529736",
            "country_code": "US",
            "telephone_number": "209-584-9088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THUC LINH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINH",
            "last_name": "TRAN",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.