Healthcare Provider Details

I. General information

NPI: 1003698580
Provider Name (Legal Business Name): QUYNH TRAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 PARK AVE S STE 87234
NEW YORK NY
10003-0103
US

IV. Provider business mailing address

228 PARK AVE S STE 87234
NEW YORK NY
10003-0103
US

V. Phone/Fax

Practice location:
  • Phone: 888-832-2779
  • Fax: 833-434-0563
Mailing address:
  • Phone: 888-832-2779
  • Fax: 833-434-0563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH88279
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: