Individual provider Active NPI

Linda Truong

  • Pharmacist
  • Azusa, CA
National Provider Identifier
1477040376
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
77126 Issued in CA
Practice address
809 N Azusa Ave
Azusa, CA 91702
Phone
(626) 629-1122
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 77126 CA Primary

Addresses

Primary practice location

809 N Azusa Ave
Azusa, CA 91702

Mailing address

17800 Colima Rd Apt 547
Rowland Heights, CA 91748-1767

Other practice location 1

10451 Fairway Dr
Roseville, CA 95678-1987
Phone (916) 780-2898

Other practice location 2

10451 Fairway Dr
Roseville, CA 95678-1987
Phone (916) 780-2898

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

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1477040376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17800 COLIMA RD APT 547",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917481767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N AZUSA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "91702",
            "telephone_number": "626-629-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10451 Fairway Dr",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956781987",
            "country_code": "US",
            "telephone_number": "916-780-2898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10451 Fairway Dr",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956781987",
            "country_code": "US",
            "telephone_number": "916-780-2898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "77126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.