Active NPI
Kha D Truong, PHARMD
- Pharmacist
- Huntington Park, CA
National Provider Identifier
1427525401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79303
- Practice address
- 1900 E Slauson Ave RM 100
Huntington Park, CA 90255-2725 - Phone
- (323) 487-4111
- NPI assigned
- Oct 29, 2018
- Last updated
- Apr 28, 2024
- 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 | 79303 | CA | Primary |
Addresses
Primary practice location
1900 E Slauson Ave RM 100
Huntington Park, CA 90255-2725
Mailing address
13612 Olive St
Westminster, CA 92683-2644
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 |
|---|---|---|---|
| 79303 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714262400000",
"number": "1427525401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13612 OLIVE ST",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926832644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 E SLAUSON AVE RM 100",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902552725",
"telephone_number": "323-487-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "KHA",
"middle_name": "D",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "U",
"enumeration_date": "2018-10-29",
"last_updated": "2024-04-28",
"certification_date": "2024-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.