Organization Active NPI

Tduong Inc

  • Community/Retail Pharmacy
  • Westminster, CA
National Provider Identifier
1457133993
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TDUONG INC
Practice address
13671 Beach Blvd Ste B
Westminster, CA 92683-3200
Phone
(714) 379-1099
Fax
(714) 379-1098
NPI assigned
Oct 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Tram DuongNPI 1033678537
Title
Owner
Phone
(714) 606-6571

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

13671 Beach Blvd Ste B
Westminster, CA 92683-3200

Mailing address

13671 Beach Blvd Ste B
Westminster, CA 92683-3200

Other names 1

  • 39 Pharmacy Corporation Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250813003396 CA Part B Supplier - Pharmacy 2567960982 Practice locations: Westminster, CA

National Provider Directory

National Provider Directory

Locations

13671 Beach Blvd
Ste B
Westminster, CA 92683
Phone (714) 379-1099

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": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1457133993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13671 BEACH BLVD STE B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13671 BEACH BLVD STE B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833200",
            "telephone_number": "714-379-1099",
            "fax_number": "714-379-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDUONG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "TRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-606-6571"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "39 Pharmacy Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.