Active NPI
Truong-Vinh Phung
- Pharmacist
- Andrews Air Force Base, MD
National Provider Identifier
1063748507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH233178
- Practice address
- 1050 W Perimeter Rd
Ste. E1-24
Andrews Air Force Base, MD 20762-6601 - Phone
- (508) 802-7446
- NPI assigned
- Oct 18, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 099819 | MA | |
| Pharmacist | 183500000X | PH233178 | MA | Primary |
Addresses
Primary practice location
1050 W Perimeter Rd
Ste. E1-24
Andrews Air Force Base, MD 20762-6601
Mailing address
330 Reservoir St
Norton, MA 02766-1507
Phone (508) 802-7446
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 |
|---|---|---|---|
| PH233178 | MA | MD | Pharmacist |
| 099819 | MA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1063748507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 RESERVOIR ST",
"city": "NORTON",
"state": "MA",
"postal_code": "027661507",
"telephone_number": "508-802-7446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 W PERIMETER RD",
"address_2": "STE. E1-24",
"city": "ANDREWS AIR FORCE BASE",
"state": "MD",
"postal_code": "207626601",
"telephone_number": "508-802-7446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHUNG",
"first_name": "TRUONG-VINH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-18",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "099819",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH233178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andrews Air Force Base, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.