Individual provider Active NPI

Trang Thien Vo

  • Pharmacist
  • Fremont, CA
National Provider Identifier
1770139180
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50598 Issued in CA
Practice address
34101 Fremont Blvd
Fremont, CA 94555-2230
Phone
(510) 794-9735
Fax
(510) 794-0784
NPI assigned
Aug 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 50598 CA Primary

Addresses

Primary practice location

34101 Fremont Blvd
Fremont, CA 94555-2230

Mailing address

34101 Fremont Blvd
Fremont, CA 94555-2230
Phone (510) 794-0735

Other practice location 1

34101 Fremont Blvd
Fremont, CA 94555-2230
Phone (510) 794-9735

Other practice location 2

34101 Fremont Blvd
Fremont, CA 94555-2230
Phone (510) 794-9735

Other identifiers 3

IdentifierTypeStateIssuer
1083758155OtherCACOMMUNITY PHARMACY
1083758155MedicaidCA
1083758155OtherCALUCKY PHARMACY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address 712rx@savemart.com Health Information Exchange (HIE)
Direct Messaging Address 712rx@savemart.com Direct

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

LicenseStateTypeSpecialty
50598CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1770139180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34101 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945552230",
            "telephone_number": "510-794-0735",
            "fax_number": "510-794-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34101 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945552230",
            "telephone_number": "510-794-9735",
            "fax_number": "510-794-0784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34101 Fremont Blvd",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945552230",
            "country_code": "US",
            "telephone_number": "510-794-9735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34101 Fremont Blvd",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945552230",
            "country_code": "US",
            "telephone_number": "510-794-9735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VO",
        "first_name": "TRANG",
        "middle_name": "THIEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "50598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY PHARMACY",
            "identifier": "1083758155",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083758155",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LUCKY PHARMACY",
            "identifier": "1083758155",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "712rx@savemart.com",
            "affiliation": "N",
            "endpointDescription": "Lucky Pharmcy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "34101 Fremont Blvd",
            "city": "Fremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945552230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "712rx@savemart.com",
            "affiliation": "N",
            "endpointDescription": "Lucky Pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "34101 Fremont Blvd",
            "city": "Fremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945552230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.