Organization Active NPI

Viet's Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
National Provider Identifier
1225210198
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VIET'S PHARMACY
Practice address
4616 El Cajon Blvd Ste 6
San Diego, CA 92115-4426
Phone
(619) 563-8212
Fax
(619) 563-8211
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Viet Thuc TruongNPI 1821108028
Title
Owner
Phone
(619) 563-8212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4616 El Cajon Blvd Ste 6
San Diego, CA 92115-4426

Mailing address

4616 El Cajon Blvd Ste 6
San Diego, CA 92115-4426
Phone (619) 563-8212

Other identifiers 1

IdentifierTypeStateIssuer
PHA222580MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1225210198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 EL CAJON BLVD STE 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154426",
            "telephone_number": "619-563-8212",
            "fax_number": "619-563-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 EL CAJON BLVD STE 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154426",
            "telephone_number": "619-563-8212",
            "fax_number": "619-563-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIET'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "VIET",
        "authorized_official_middle_name": "THUC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-563-8212",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA222580",
            "state": "CA"
        }
    ],
    "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 Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.