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
- 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, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS LLC | 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 and National Provider Directory roles.
-
- Pharmacy
- Buena Park, CA
- NPI 1619075108
-
- Pharmacy
- Jurupa Valley, CA
- NPI 1780573113
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.