Active NPI
Truong Thach Ho Lam
- Pharmacist
- Warner Robins, GA
National Provider Identifier
1912519497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH030546
- Practice address
- 1880 Watson Blvd
Warner Robins, GA 31093-3612 - Phone
- (478) 975-9677
- NPI assigned
- Aug 17, 2020
- Last updated
- Aug 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH030546 | GA | Primary |
Addresses
Primary practice location
1880 Watson Blvd
Warner Robins, GA 31093-3612
Mailing address
105 Bass Plantation Dr Apt 1402
Macon, GA 31210-5763
Phone (770) 356-7765
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RXM.06561@store.walgreens.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH030546 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Interoperability endpoints
- rxm.06561@store.walgreens.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1912519497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 BASS PLANTATION DR APT 1402",
"city": "MACON",
"state": "GA",
"postal_code": "312105763",
"telephone_number": "770-356-7765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 WATSON BLVD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310933612",
"telephone_number": "478-975-9677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO LAM",
"first_name": "TRUONG THACH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH030546",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "RXM.06561@store.walgreens.com",
"affiliation": "N",
"address_1": "1880 Watson Blvd",
"city": "Warner Robins",
"state": "GA",
"country_code": "US",
"postal_code": "310933612",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.