VI Thuy Jaqua, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0011388 Issued in OR

Practice address

47809 Or-58
Oakridge, OR 97463

Phone

(541) 782-2617

NPI assigned

Oct 28, 2022

Last updated

Dec 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. VI Thuy Pham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Postal Pharmacy Inc

  dba Oakridge Pharmacy

  • Community/Retail Pharmacy
  • Oakridge, OR
  • NPI 1205901485
  NPD (past)

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1013624220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34320 MCKENZIE VIEW DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974089205",
            "telephone_number": "503-481-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47809 OR-58",
            "city": "OAKRIDGE",
            "state": "OR",
            "postal_code": "97463",
            "telephone_number": "541-782-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAQUA",
        "first_name": "VI",
        "middle_name": "THUY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0011388",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH-0011388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VI",
            "last_name": "PHAM",
            "middle_name": "THUY",
            "prefix": "DR.",
            "credential": "PHARM.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Leigh Couey, LPC
• Tolulope Dada, APRN
• Darcie Gibson
• Green Mountain Medical Clinic PC
• Icco LLC (Five Rivers Family Practice)
• Robert Scott Johnson
• Marci Lynn Le Compte, LPC, QMHP
• Jamie Nichole Lloyd, MA, LPC
• Marci L. Lecompte, M.a., LLC
• Brianna Mortier, PA

• Pharmacist in Oakridge, OR
• Providers in Oakridge, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.