Active NPI
Peter Vu
- Pharmacist
- Dallas, TX
National Provider Identifier
1104696863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73502
- Practice address
- 2323 W Illinois Ave
Dallas, TX 75224-1637 - Phone
- (972) 408-8717
- NPI assigned
- Jan 4, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 73502 | TX | Primary |
Addresses
Primary practice location
2323 W Illinois Ave
Dallas, TX 75224-1637
Mailing address
1604 Timberlake Dr
Apt#2314
Arlington, TX 76010
Phone (972) 408-8717
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 |
|---|---|---|---|
| 73502 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1104696863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 TIMBERLAKE DR",
"address_2": "APT#2314",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76010",
"telephone_number": "972-408-8717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 W ILLINOIS AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752241637",
"telephone_number": "972-408-8717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "PETER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-04",
"last_updated": "2024-01-04",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "73502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.