Healthcare Provider Details

I. General information

NPI: 1083985162
Provider Name (Legal Business Name): ANN HONG TRAN PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2012
Last Update Date: 02/23/2025
Certification Date: 02/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22370 DAVIS DR
STERLING VA
20164-5382
US

IV. Provider business mailing address

524 N PAXTON ST
ALEXANDRIA VA
22304-2734
US

V. Phone/Fax

Practice location:
  • Phone: 571-369-2097
  • Fax:
Mailing address:
  • Phone: 240-515-6790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16703
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP438606
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH100001058
License Number StateDC
# 4
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202209500
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: