Individual provider Active NPI

Truong Tra, PHARM D

  • Pharmacist
  • Alexandria, LA
National Provider Identifier
1932635919
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
019224 Issued in LA
Practice address
3108 Jackson St
Alexandria, LA 71301-4746
Phone
(318) 442-1122
Fax
(877) 718-9865
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 019224 LA Primary

Addresses

Primary practice location

3108 Jackson St
Alexandria, LA 71301-4746

Mailing address

5935 Ron Mar Dr
Alexandria, LA 71303-3790
Phone (504) 782-9438

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
019224LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmed Holdings LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1932635919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935 RON MAR DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033790",
            "telephone_number": "504-782-9438",
            "fax_number": "877-718-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 JACKSON ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713014746",
            "telephone_number": "318-442-1122",
            "fax_number": "877-718-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRA",
        "first_name": "TRUONG",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "019224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.