Active NPI
Tung Truong
- Pharmacist
- Marysville, WA
National Provider Identifier
1750760708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60659185
- Practice address
- 9710 State Ave
Marysville, WA 98270-2232 - Phone
- (360) 363-8610
- Fax
- (360) 363-8615
- NPI assigned
- May 22, 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 | PH60659185 | WA | Primary |
Addresses
Primary practice location
9710 State Ave
Marysville, WA 98270-2232
Mailing address
9710 State Ave
Marysville, WA 98270-2232
Phone (360) 363-8610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH60659185 | Other | WA | LICENSE |
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 |
|---|---|---|---|
| PH60659185 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1750760708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9710 STATE AVE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982702232",
"telephone_number": "360-363-8610",
"fax_number": "360-363-8615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9710 STATE AVE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982702232",
"telephone_number": "360-363-8610",
"fax_number": "360-363-8615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "TUNG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-22",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60659185",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PH60659185",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.