Organization Active NPI

Trucare Pharmacy LLC

Doing business as Trucare Pharmacy

  • Community/Retail Pharmacy
  • Garden Grove, CA
National Provider Identifier
1841625407
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TRUCARE PHARMACY LLC
Doing business as
Trucare Pharmacy
Practice address
12918 Harbor Blvd
Garden Grove, CA 92840-5809
Phone
(714) 583-9550
Fax
(714) 795-3949
NPI assigned
Sep 13, 2013
Last updated
Jan 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Authorized official

Name
Joe Y Vuong, RPH
Title
President/Pharmacist in Charge
Phone
(714) 583-9550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X CA Primary

Addresses

Primary practice location

12918 Harbor Blvd
Garden Grove, CA 92840-5809

Mailing address

12918 Harbor Blvd
Garden Grove, CA 92840-5809
Phone (714) 583-9550

Other identifiers 1

IdentifierTypeStateIssuer
0635640MedicaidCA

Other names 1

  • TRUCARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

12918 Harbor Blvd
Garden Grove, CA 92840
Phone (714) 583-9550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1841625407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12918 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405809",
            "telephone_number": "714-583-9550",
            "fax_number": "714-795-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12918 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405809",
            "telephone_number": "714-583-9550",
            "fax_number": "714-795-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "VUONG",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "714-583-9550",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0635640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRUCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TRUCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.