VLN Health and Wellness LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VLN HEALTH AND WELLNESS LLC

Doing business as

CANARY PHARMACY

Practice address

12800 Garden Grove Blvd Ste G
Garden Grove, CA 92843-2008

Phone

(714) 867-6595

Fax

(909) 621-5732

NPI assigned

Feb 7, 2024

Organization subpart

No

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

Authorized official

Name

Vanson Tradzu Luu, PHARM DNPI 1720353832

Title

Managing Member

Phone

(714) 867-6595

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CANARY PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vanson Tradzu Luu, PHARMD

  • Pharmacist
  • Moreno Valley, CA
  • NPI 1720353832
  NPD Authorized official

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1124882469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 GARDEN GROVE BLVD STE G",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432008",
            "telephone_number": "714-867-6595",
            "fax_number": "909-621-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 GARDEN GROVE BLVD STE G",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432008",
            "telephone_number": "714-867-6595",
            "fax_number": "909-621-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VLN HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "VANSON",
        "authorized_official_middle_name": "TRADZU",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "714-867-6595",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY59171",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANARY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.