Organization Active NPI

Trucare Pharmacy Corporation

  • Community/Retail Pharmacy
  • Chino Hills, CA
National Provider Identifier
1841940780
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Jun 20, 2022

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

Authorized official

Name
Xiaoxi WangNPI 1326601139
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220706001917 CA Part B Supplier - Pharmacy 7911387121 Practice locations: Chino Hills, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2275265Trucare Pharmacy3110 Chino Ave Ste 100, Chino Hills, CA 91709Certificate of waiverJan 17, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.