Active NPI
Jenny Tram Anh Truong
- Pharmacist
- Buena Park, CA
National Provider Identifier
1700461027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH86870
- Practice address
- 7065 La Palma Ave
Buena Park, CA 90620-2424 - Phone
- (714) 228-2085
- NPI assigned
- Mar 17, 2021
- Last updated
- Oct 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | INT42965 | CA | |
| Pharmacist | 183500000X | RPH86870 | CA | Primary |
Addresses
Primary practice location
7065 La Palma Ave
Buena Park, CA 90620-2424
Mailing address
10301 Parkview Ave
Westminster, CA 92683-5744
Phone (714) 860-2090
Other practice location 1
11201 Benton St
Loma Linda, CA 92357-1000
Phone (909) 777-3259
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 |
|---|---|---|---|
| RPH86870 | CA | MD | Pharmacist |
| INT42965 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | 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, 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": "1615939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667001600000",
"number": "1700461027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 PARKVIEW AVE",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926835744",
"telephone_number": "714-860-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7065 LA PALMA AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906202424",
"telephone_number": "714-228-2085"
}
],
"practiceLocations": [
{
"address_1": "11201 Benton St",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923571000",
"country_code": "US",
"telephone_number": "909-777-3259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRUONG",
"first_name": "JENNY",
"middle_name": "TRAM ANH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-17",
"last_updated": "2022-10-29",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "INT42965",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH86870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.