Active NPI
Trucare Pharmacy Corporation
- Community/Retail Pharmacy
- Chino Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- TRUCARE PHARMACY CORPORATION
- Practice address
- 3110 Chino Ave Ste 100
Chino Hills, CA 91709-1294 - Phone
- (909) 585-2825
- NPI assigned
- Mar 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Xiaoxi Wang
- Title
- President
- Phone
- (425) 240-8399
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3110 Chino Ave Ste 100
Chino Hills, CA 91709-1294
Mailing address
3110 Chino Ave Ste 100
Chino Hills, CA 91709-1294
Phone (909) 300-0365
Other names 1
- Trucare Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220706001917 | CA | Part B Supplier - Pharmacy | 7911387121 | Practice locations: Chino Hills, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2275265 | Trucare Pharmacy | Certificate of waiver | Jan 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
3110 Chino Ave
Ste 100
Chino Hills, CA 91709
Phone (909) 300-0365
3100 Chino Ave Ste 100
Chino Hills, CA 91709
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Visalia, CA
- NPI 1326601139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655683200000",
"number": "1841940780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 CHINO AVE STE 100",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917091294",
"telephone_number": "909-300-0365",
"fax_number": "909-707-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 CHINO AVE STE 100",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917091294",
"telephone_number": "909-585-2825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUCARE PHARMACY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-24",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "XIAOXI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "425-240-8399"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Trucare Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chino Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.