Active NPI
Enve N Truong, PHARM D.
- Pharmacist
- Modesto, CA
National Provider Identifier
1245515584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56471
- Practice address
- 3500 Coffee Rd
Modesto, CA 95355-1305 - Phone
- (209) 341-0814
- NPI assigned
- Oct 19, 2011
- 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 | 56471 | CA | Primary |
Addresses
Primary practice location
3500 Coffee Rd
Modesto, CA 95355-1305
Mailing address
PO Box 1656
Elk Grove, CA 95759-1656
Phone (916) 753-4592
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56471 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1245515584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1656",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957591656",
"telephone_number": "916-753-4592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953551305",
"telephone_number": "209-341-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "ENVE",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-19",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "56471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.