Track MTM Pharmacy Inc.

Primary specialty

Managed Care Organization PharmacyTaxonomy code 3336M0003X

Legal business name

TRACK MTM PHARMACY INC.

Doing business as

Track MTM

Practice address

4311 Haines St Apt 1
San Diego, CA 92109-4307

Phone

(760) 304-2633

NPI assigned

Oct 20, 2017

Organization subpart

No

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

Authorized official

Name

Tram Nguyen

Title

Ceo

Phone

(760) 304-2633

Specialties & licenses 1

Addresses

Other names 1

• Track MTM Doing business as

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508457600000",
    "number": "1801307590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 HAINES ST APT 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 HAINES ST APT 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094307",
            "telephone_number": "760-304-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACK MTM PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-304-2633"
    },
    "taxonomies": [
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Track MTM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.