Andrew Quang Tran
Pharmacist in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1962048140
StatusActive
Last updated in NPPESNov 21, 2019
Details
- NPI
- 1962048140
- Entity type
- Individual (NPI-1)
- Name
- Andrew Quang Tran
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 21, 2019
- Last updated
- Nov 21, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 26020009a | IN | Yes |
Practice location
6202 Saint Joe Center RdFort Wayne, IN 46835-2506
Phone 260-492-2054 · Fax 260-492-0037
Mailing address
6202 Saint Joe Center RdFort Wayne, IN 46835-2506
Phone 260-492-2054 · Fax 260-492-0037
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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