Healthcare Provider Details

I. General information

NPI: 1386244960
Provider Name (Legal Business Name): JENNIFER YEN TRAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2020
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 S REDWOOD RD
SALT LAKE CITY UT
84104-5105
US

IV. Provider business mailing address

1550 S REDWOOD RD
SALT LAKE CITY UT
84104-5105
US

V. Phone/Fax

Practice location:
  • Phone: 800-444-8081
  • Fax:
Mailing address:
  • Phone: 800-444-8081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS024539
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number7245874-1701
License Number StateUT
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number20445-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: