Active NPI
Khoa Truong
- Pharmacist
- Fairbanks, AK
National Provider Identifier
1487029385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 104199
- Practice address
- 537 Johansen Expy
Fairbanks, AK 99701-3165 - Phone
- (678) 462-1878
- NPI assigned
- Dec 4, 2015
- 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 | 104199 | AK | Primary |
Addresses
Primary practice location
537 Johansen Expy
Fairbanks, AK 99701-3165
Mailing address
537 Johansen Expy
Fairbanks, AK 99701-3165
Phone (678) 462-1878
Other names 1
- Khoa Truong
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104199 | AK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1487029385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 JOHANSEN EXPY",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997013165",
"telephone_number": "678-462-1878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 JOHANSEN EXPY",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997013165",
"telephone_number": "678-462-1878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "KHOA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-04",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "104199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KHOA",
"last_name": "TRUONG",
"credential": "PHARM.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.