Active NPI
Phuong Truong, PHARM.D.
- Pharmacist
- San Diego, CA
National Provider Identifier
1982742763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 057340
- Practice address
- 4640 Zion Ave
San Diego, CA 92120-2559 - Phone
- (619) 528-3640
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- 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 | 057340 | CA | Primary |
Addresses
Primary practice location
4640 Zion Ave
San Diego, CA 92120-2559
Mailing address
4640 Zion Ave
San Diego, CA 92120-2559
Phone (619) 528-3640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057340 | Other | CA | CALIFORNIA RPH LICENSE # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 057340 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982742763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4640 ZION AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202559",
"telephone_number": "619-528-3640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4640 ZION AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202559",
"telephone_number": "619-528-3640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "PHUONG",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "057340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA RPH LICENSE #",
"identifier": "057340",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.