Healthcare Provider Details

I. General information

NPI: 1174342364
Provider Name (Legal Business Name): TRAN H NGO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2024
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4625 S MILLER RD
BUCKEYE AZ
85326-6989
US

IV. Provider business mailing address

10218 W INDIANOLA AVE
AVONDALE AZ
85392-1603
US

V. Phone/Fax

Practice location:
  • Phone: 480-351-7440
  • Fax: 480-498-2192
Mailing address:
  • Phone: 602-710-3418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS0272216
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS027216
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: