Active NPI
Douglas Trovinger, RPH
- Pharmacist
- Stockton, CA
National Provider Identifier
1710255799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28720
- Practice address
- 7929 Lower Sacramento Rd
Stockton, CA 95210-3723 - Phone
- (209) 474-0880
- NPI assigned
- Dec 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 28720 | CA | Primary |
Addresses
Primary practice location
7929 Lower Sacramento Rd
Stockton, CA 95210-3723
Mailing address
2518 Canal Dr
Lodi, CA 95242-4818
Phone (209) 334-9256
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28720 | CA | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1710255799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2518 CANAL DR",
"city": "LODI",
"state": "CA",
"postal_code": "952424818",
"telephone_number": "209-334-9256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7929 LOWER SACRAMENTO RD",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952103723",
"telephone_number": "209-474-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROVINGER",
"first_name": "DOUGLAS",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-06",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "28720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.