MITCHELL TRUONG (NPI# 1952857161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952857161 |
| Entity Type | Individual |
| Full Name | MITCHELL TRUONG |
| Credential | PHARM.D. |
| Practice Address |
622 E. Ustick Road Caldwell ID 83646 |
| Mailing Address |
11674 W Granger St Boise ID 83713-5147 |
| Practice Telephone | 2084545640 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P7549 | ID | Pharmacy Service Providers |
| Street Address |
622 E. USTICK ROAD |
| City | CALDWELL |
| State | ID |
| Zip Code | 83646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1356977466 | Tanabell Health Services Inc | Assisted Living Facility | 2584 E Magic View Dr, Meridian, ID 83646 | 2020-03-20 |
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
| 1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
| 1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
| 1609327022 | Finding Home Healthcare, Inc. | Clinic/Center | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 | 2016-10-20 |
| 1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
| 1194117366 | Westfall Ventures, Inc | Health Maintenance Organization | 2572 N. Stokesberry Pl, Meridian, ID 83646 | 2015-02-25 |
| 1144611872 | Jobeth Deanna Kuchar | Dietitian, Registered | 1465 Deer Crest Street, Building P 101, Meridian, ID 83646 | 2015-02-17 |
| Find all providers in zip 83646 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1104239169 | Nichelle Daigle | Pharmacist | 622 E Ustick Rd, Caldwell, ID 83605 | 2014-06-08 |
| 1679910491 | Trisha M Beutler | Pharmacist | 11809 Shalako Rd, Caldwell, ID 83607-5095 | 2013-06-03 |
| 1477839405 | Chad Boughey | Pharmacist | 7017 Noah Dr Apt 201, Caldwell, ID 83607-5339 | 2011-10-21 |
| 1326335746 | Raymond Joffer | Pharmacist | 2500 Blaine St., Caldwell, ID 83605-4426 | 2011-07-06 |
| 1841519774 | Mital C Shah | Pharmacist | 356 Bloomfield Ave, Caldwell, NJ 07006-4905 | 2010-05-17 |
| 1215092044 | Rebecca Sue Dunlap | Pharmacist | 44523 Marietta Road, Caldwell, OH 43724 | 2006-12-22 |
| 1992800361 | Gregory Allen Paisley | Pharmacist | 109 West Street, Caldwell, OH 43724-1359 | 2006-09-13 |
| 1811938582 | James Scott Braden | Pharmacist | 44523 Marietta Rd, Caldwell, OH 43724-9209 | 2006-06-10 |
| Find all providers in CALDWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.