Individual provider Active NPI

Tracy Vuong Kyono, PHARM.D.

  • Pharmacist
  • Union City, CA
National Provider Identifier
1609515154
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
85921 Issued in CA
Practice address
1790 Decoto Rd
Union City, CA 94587-3524
Phone
(510) 429-9093
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 85921 CA Primary

Addresses

Primary practice location

1790 Decoto Rd
Union City, CA 94587-3524

Mailing address

3400 Stevenson Blvd Apt U37
Fremont, CA 94538-5853
Phone (408) 888-4381

Other practice location 1

3400 Stevenson Blvd Apt U37
Fremont, CA 94538-5853
Phone (408) 888-4381

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

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc PastSince Sep 24, 2023 Accepting new patients
Safeway Inc PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1609515154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 STEVENSON BLVD APT U37",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945385853",
            "telephone_number": "408-888-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 DECOTO RD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873524",
            "telephone_number": "510-429-9093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Stevenson Blvd Apt U37",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945385853",
            "country_code": "US",
            "telephone_number": "408-888-4381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYONO",
        "first_name": "TRACY",
        "middle_name": "VUONG",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.