Active NPI
Luong Trach Huynh
- Pharmacist
- Marysville, CA
National Provider Identifier
1023386497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54850
- Practice address
- 812 5TH St
Marysville, CA 95901-5615 - Phone
- (530) 743-4629
- Fax
- (530) 743-8574
- NPI assigned
- Dec 13, 2011
- Last updated
- Oct 1, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 54850 | CA | Primary |
Addresses
Primary practice location
812 5TH St
Marysville, CA 95901-5615
Mailing address
812 5TH St
Marysville, CA 95901-5615
Phone (530) 743-4629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA476020 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54850 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SNL Scripts Inc | Current | Accepting new patients | |
| Marysville Scripts | Past | Accepting new patients |
Locations
812 5th St
Marysville, CA 95901
Phone (530) 743-4629
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Medicine Shoppe Pharmacy
- Community/Retail Pharmacy
- Marysville, CA
- NPI 1235156050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1023386497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 5TH ST",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959015615",
"telephone_number": "530-743-4629",
"fax_number": "530-743-8574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 5TH ST",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959015615",
"telephone_number": "530-743-4629",
"fax_number": "530-743-8574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "LUONG",
"middle_name": "TRACH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-13",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "54850",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA476020",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marysville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.