Active NPI
Phuoc Vo, PHARMACIST
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Derby, KS
National Provider Identifier
1063119139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 1-111695
- Practice address
- 1624 N Rock Rd
Derby, KS 67037-3718 - Phone
- (316) 554-2121
- Fax
- (316) 554-2125
- NPI assigned
- Feb 9, 2023
- Last updated
- May 14, 2026
- 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 | 1-111695 | KS | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 1-111695 | KS | Primary |
Addresses
Primary practice location
1624 N Rock Rd
Derby, KS 67037-3718
Mailing address
10602 E Lockmoor St
Wichita, KS 67207-5731
Phone (316) 516-3226
Other practice location 1
1510 Ohio St
Augusta, KS 67010-2157
Phone (316) 775-5456
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-111695 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Companies LLC | Past | Accepting new patients | |
| Dillon Companies LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba King Soopers Pharmacy #153
- Community/Retail Pharmacy
- Fountain, CO
- NPI 1194524165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1063119139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10602 E LOCKMOOR ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672075731",
"telephone_number": "316-516-3226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 N ROCK RD",
"city": "DERBY",
"state": "KS",
"postal_code": "670373718",
"telephone_number": "316-554-2121",
"fax_number": "316-554-2125"
}
],
"practiceLocations": [
{
"address_1": "1510 Ohio St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "KS",
"postal_code": "670102157",
"country_code": "US",
"telephone_number": "316-775-5456",
"fax_number": "316-775-4108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VO",
"first_name": "PHUOC",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-09",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-111695",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "KS",
"license": "1-111695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.