TRAM PHAN (NPI# 1598174765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598174765 |
| Entity Type | Individual |
| Full Name | TRAM PHAN |
| Practice Address |
14241 Coursey Blvd Baton Rouge LA 70817-1368 |
| Practice Telephone | 2257527949 |
| Practice Fax Number | 2257527932 |
| Mailing Telephone | 2257527949 |
| Mailing Fax Number | 2257527932 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17304 | LA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164905956 | Tram Giang Hoang Phan | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2018-09-08 |
| 1184176877 | Tram Phan | Pharmacist | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2016-10-27 |
| 1679924724 | Tram Phan | Registered Nurse | 2151 College Ave, Bakersfield, CA 93305-4113 | 2016-06-29 |
| Street Address |
14241 COURSEY BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70817-1368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154372696 | Glen Lamonica | Optometrist | 14241 Coursey Blvd, Suite A8, Baton Rouge, LA 70817-1368 | 2006-05-12 |
| 1053783878 | Karen Stevens | Counselor | 14241 Coursey Blvd, Suite A-12 258, Baton Rouge, LA 70817-1368 | 2015-10-21 |
| 1962873257 | Life Changing Counseling, LLC | Counselor | 14241 Coursey Blvd, Suite A-12 258, Baton Rouge, LA 70817-1368 | 2015-10-12 |
| 1093111833 | Zounds Baton Rouge, LLC. | Hearing Aid Equipment | 14241 Coursey Blvd, Ste A-10, Baton Rouge, LA 70817-1368 | 2014-11-05 |
| 1174923569 | Kellie Geoffroy | Pharmacist | 14241 Coursey Blvd, Baton Rouge, LA 70817-1368 | 2014-09-04 |
| 1659771020 | Danielle Matthews | Pharmacist | 14241 Coursey Blvd, Baton Rouge, LA 70817-1368 | 2014-09-03 |
| 1679826648 | Tuyet Nhi Nguyen | Pharmacist | 14241 Coursey Blvd, Baton Rouge, LA 70817-1368 | 2012-10-16 |
| 1780601054 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 14241 Coursey Blvd, Baton Rouge, LA 70817-1368 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1457821043 | Traci Bellazin | Case Manager/Care Coordinator | 9334 Falling Oak Dr., Baton Rouge, LA 70817 | 2018-11-27 |
| 1124502869 | Jacob Schrieffer | Nurse Practitioner | 15389 Airline Highway, Baton Rouge, LA 70817 | 2018-09-19 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1740786946 | Charlotte L Watts | Nurse Practitioner | 15389 Airline Hwy, Baton Rouge, LA 70817 | 2018-04-05 |
| 1164957536 | Deranecha Francois | Counselor | 17232 Jefferson Hwy, Apt 121, Baton Rouge, LA 70817 | 2017-04-24 |
| 1992251573 | Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp | Dentist | 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 | 2016-09-01 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1962832204 | Bcbr Facility Services, LLC | Clinic/Center | 277 Rue De La Vie, Baton Rouge, LA 70817 | 2013-11-23 |
| 1700225737 | Renee Denise Beyer Boudreaux | Nurse Practitioner | 500 Rue De La Vie, Suite 401, Baton Rouge, LA 70817 | 2013-06-24 |
| Find all providers in zip 70817 | ||||
| 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 |
|---|---|---|---|---|
| 1578185229 | Erin Hannah Morgan | Pharmacist | 17050 Medical Center Dr Fl 1, Baton Rouge, LA 70816-3221 | 2020-05-15 |
| 1336791458 | Kacie Marie Watson | Pharmacist | 100 Womans Way Ste Ssb1, Baton Rouge, LA 70817-5100 | 2019-07-09 |
| 1639610785 | Amy Douglass | Pharmacist | 9026 Jefferson Hwy Ste 101, Baton Rouge, LA 70809-2432 | 2017-03-09 |
| 1598209504 | Toni Davis Scott | Pharmacist | North Stadium Drive, Baton Rouge, LA 70808 | 2016-12-09 |
| 1538617097 | Loan Nguyen | Pharmacist | 1315 N Cicero Ave, Baton Rouge, LA 70816-1856 | 2016-09-14 |
| 1306200308 | Richard Bienvenu | Pharmacist | 6765 Corporate Blvd, Apt 9209, Baton Rouge, LA 70809-1061 | 2016-04-06 |
| 1114390127 | Anne Minh-anh Tran | Pharmacist | 1628 Campden Dr, Baton Rouge, LA 70810-3599 | 2015-11-12 |
| 1477920452 | Brittney Johnson | Pharmacist | 12629 E Robin Hood Dr, Baton Rouge, LA 70815-6639 | 2015-08-26 |
| 1578930566 | Cally Marie Newsom | Pharmacist | 5500 Perkins Rd Apt 3111, Baton Rouge, LA 70808-4105 | 2015-08-26 |
| 1760858955 | Lauren Mcneill | Pharmacist | 5555 Essen Ln Ste C, Baton Rouge, LA 70809-3566 | 2015-08-11 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70817 |
Please comment or provide details below to improve the information on TRAM PHAN.
| 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.