Healthcare Provider Details

I. General information

NPI: 1073956009
Provider Name (Legal Business Name): THY TRAN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2013
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 RED CEDAR DR
HIGHLANDS RANCH CO
80126-8067
US

IV. Provider business mailing address

2575 PENHURST PL
HIGHLANDS RANCH CO
80126-4508
US

V. Phone/Fax

Practice location:
  • Phone: 303-683-4288
  • Fax: 303-683-4128
Mailing address:
  • Phone: 720-934-4852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number15626
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: