Active NPI
Truong Huynh
- Pharmacist
- San Diego, CA
National Provider Identifier
1124885512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64908
- Practice address
- 3821 Calle Fortunada
San Diego, CA 92123-4810 - Phone
- (619) 878-6188
- NPI assigned
- Mar 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 64908 | CA | Primary |
Addresses
Primary practice location
3821 Calle Fortunada
San Diego, CA 92123-4810
Mailing address
18165 Moon Song CT
San Diego, CA 92127-3105
Phone (858) 472-5867
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1124885512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18165 MOON SONG CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921273105",
"telephone_number": "858-472-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3821 CALLE FORTUNADA",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234810",
"telephone_number": "619-878-6188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "TRUONG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-01",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "64908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.