Active NPI
Anthony M Truong, RPH
- Pharmacist
- Beaverton, OR
National Provider Identifier
1942632492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10006
- Practice address
- 18101 NW Evergreen Pkwy
Beaverton, OR 97006 - Phone
- (503) 207-0041
- NPI assigned
- Aug 7, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 10006 | OR | Primary |
Addresses
Primary practice location
18101 NW Evergreen Pkwy
Beaverton, OR 97006
Mailing address
10692 SW Adele Dr
Portland, OR 97225-6966
Phone (503) 810-5497
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10006 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1942632492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10692 SW ADELE DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256966",
"telephone_number": "503-810-5497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 NW EVERGREEN PKWY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97006",
"telephone_number": "503-207-0041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "ANTHONY",
"middle_name": "M",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-07",
"last_updated": "2024-11-05",
"certification_date": "2024-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "10006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.