Active NPI
Quan The Truong, PHARMD
- Pharmacist
- Chinle, AZ
National Provider Identifier
1336770338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4413
- Practice address
- US Hway 191 & Hospital Road
PO Drawer PH
Chinle, AZ 86503 - Phone
- (928) 674-7001
- NPI assigned
- Jan 29, 2020
- 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 | 4413 | HI | Primary |
Addresses
Primary practice location
US Hway 191 & Hospital Road
PO Drawer PH
Chinle, AZ 86503
Mailing address
PO Box 384
Chinle, AZ 86503-0384
Phone (253) 359-5243
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4413 | Other | HI | HAWAII STATE BOARD OF PHARMACY |
| 1113676 | Other | NATIONAL ASSOCIATION OF BOARDS OF PHARMACY (NABP) | |
| 18428 | Other | OK | OKLAHOMA STATE BOARD OF PHARMACY |
| PH60943871 | Other | WA | WASHINGTON PHARMACY QUALITY ASSURANCE COMMISSION |
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 |
|---|---|---|---|
| 4413 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1336770338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 384",
"city": "CHINLE",
"state": "AZ",
"postal_code": "865030384",
"telephone_number": "253-359-5243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US HWAY 191 & HOSPITAL ROAD",
"address_2": "PO DRAWER PH",
"city": "CHINLE",
"state": "AZ",
"postal_code": "86503",
"telephone_number": "928-674-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "QUAN",
"middle_name": "THE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-29",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "4413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII STATE BOARD OF PHARMACY",
"identifier": "4413",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL ASSOCIATION OF BOARDS OF PHARMACY (NABP)",
"identifier": "1113676",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA STATE BOARD OF PHARMACY",
"identifier": "18428",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON PHARMACY QUALITY ASSURANCE COMMISSION",
"identifier": "PH60943871",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chinle, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.