Thien Long Hoang Vu, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2021035026 Issued in MO

Practice address

1003 Wolfrum Rd
Weldon Spring, MO 63304-7625

Phone

(636) 300-0158

Fax

(636) 300-0172

NPI assigned

Aug 28, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Saint Peters, MO
  • NPI 1104831353
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Saint Peters, MO
  • NPI 1548276017
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Weldon Spring, MO
  • NPI 1700893716
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1104593938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 WOLFRUM RD",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047625",
            "telephone_number": "363-000-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WOLFRUM RD",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047625",
            "telephone_number": "636-300-0158",
            "fax_number": "636-300-0172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Mid Rivers Mall Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633762150",
            "country_code": "US",
            "telephone_number": "636-970-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "THIEN LONG",
        "middle_name": "HOANG",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-28",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2021035026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Suchland, PLPC
• Brittany Taake, PHARMD
• Amanda Thieme, LCSW
• Tooley Therapy Services
• Tyler Z Tooley, MS, LPC
• Rachel Lee Wagster, NP
• Walgreen Co
• Jessica Marie Walker-Livingston, RDH
• Walters Chiropractic LLC
• Mackenzie Watkins, PHARMD

• Pharmacist in Weldon Spring, MO
• Providers in Weldon Spring, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.