Active NPI
John Ba Vu, PHARMD, RPH
- Pharmacist
- Lake Jackson, TX
National Provider Identifier
1013306794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54020
- Practice address
- 131 Oyster Creek Dr
Lake Jackson, TX 77566-4157 - Phone
- (979) 292-0328
- NPI assigned
- Jan 17, 2015
- Last updated
- Feb 18, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 54020 | TX | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 54020 | TX |
Addresses
Primary practice location
131 Oyster Creek Dr
Lake Jackson, TX 77566-4157
Mailing address
2701 N Navarro St
Victoria, TX 77901-3916
Phone (361) 578-1581
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54020 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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": "1421452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676678400000",
"number": "1013306794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 N NAVARRO ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779013916",
"telephone_number": "361-578-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 OYSTER CREEK DR",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775664157",
"telephone_number": "979-292-0328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "JOHN",
"middle_name": "BA",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-17",
"last_updated": "2023-02-18",
"certification_date": "2023-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "54020",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TX",
"license": "54020",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.