PHUONG-THAO THERESE TRAN (NPI# 1245639665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245639665 |
| Entity Type | Individual |
| Full Name | PHUONG-THAO THERESE TRAN |
| Credential | PHARM.D |
| Practice Address |
1451 N Dysart Rd Avondale AZ 85323-1515 |
| Practice Telephone | 6239250280 |
| Mailing Telephone | 6239250280 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S020814 | AZ | Pharmacy Service Providers |
| Street Address |
1451 N DYSART RD |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679588909 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1451 N Dysart Rd, Avondale, AZ 85323-1515 | 2006-07-29 |
| 1588122576 | Shawn Schmuki | Pharmacist | 1451 N Dysart Rd, Avondale, AZ 85323-1515 | 2019-03-08 |
| 1407373095 | Seth Aaron Fisher | Pharmacist | 1451 N Dysart Rd, Avondale, AZ 85323-1515 | 2017-08-24 |
| 1669704771 | George Kenneth Heller | Pharmacist | 1451 N Dysart Rd, Avondale, AZ 85323-1515 | 2010-02-01 |
| 1871824201 | Delores M Walton | Pharmacist | 1451 N Dysart Rd, Avondale, AZ 85323-1515 | 2010-01-25 |
| 1588995492 | Mudasir O Arogundade | Pharmacist | 1451 N Dysart Rd, Avondale, AZ 85323-1515 | 2010-01-18 |
| 1740511690 | Sharon L Egea | Pharmacist | 1451 N Dysart Rd, Avondale, AZ 85323-1515 | 2010-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316486905 | Hong Tran | Pharmacist | 173 June Dr., Avondale, LA 70094 | 2017-02-16 |
| 1124400973 | Erik Kirakosyan | Pharmacist | 10350 W Mcdowell Rd Apt 1211, Avondale, AZ 85392-4814 | 2015-06-28 |
| 1588913198 | Sean Martin Whalen | Pharmacist | 160 Candlewyck, Avondale, PA 19311 | 2012-08-29 |
| 1811272313 | Andrew Tamin | Pharmacist | 600 Gap-newport Pike, Avondale, PA 19311 | 2011-10-15 |
| 1225311509 | Alisha Blue-patterson | Pharmacist | 2800 Highway 90 W, Avondale, LA 70094-2781 | 2011-09-23 |
| 1710269915 | Karen Tarbotton | Pharmacist | 302 Industrial Dr, Avondale, PA 19311 | 2011-09-13 |
| 1609002948 | Lameck Nyakweba | Pharmacist | 10750 W Mcdowell Rd Bldg A, Avondale, AZ 85392-5960 | 2009-06-01 |
| 1740414937 | Lawrence Jackson Jr. | Pharmacist | 3700 Devereaux Ct, Avondale, LA 70094-2589 | 2009-05-04 |
| 1962627646 | Michelle Harris | Pharmacist | 320 Layman St, Avondale, LA 70094-2562 | 2007-04-16 |
| 1508995994 | Keith Freal Van Heise | Pharmacist | 12906 W Wilshire Dr, Avondale, AZ 85323-7134 | 2007-03-03 |
| Find all providers in AVONDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.