Active NPI
Vu Nguyen DO, RPH
- Pharmacist
- Tigard, OR
National Provider Identifier
1215209002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-10649
- Practice address
- 7850 SW Dartmouth St
Tigard, OR 97223-8401 - Phone
- (503) 639-0722
- Fax
- (503) 639-4970
- NPI assigned
- Feb 8, 2012
- Last updated
- Jan 5, 2016
- 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 | RPH-10649 | OR | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0010649 | OR |
Addresses
Primary practice location
7850 SW Dartmouth St
Tigard, OR 97223-8401
Mailing address
7850 SW Dartmouth St
Tigard, OR 97223-8401
Phone (503) 639-0722
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-10649 | OR | MD | Pharmacist |
| RPH-0010649 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Costco Wholesale Corporation | Past | Accepting new patients |
Organizations & group practices 1
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 Costco Pharmacy #1709
- Community/Retail Pharmacy
- Las Vegas, NV
- NPI 1255124269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1215209002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7850 SW DARTMOUTH ST",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238401",
"telephone_number": "503-639-0722",
"fax_number": "503-639-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7850 SW DARTMOUTH ST",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238401",
"telephone_number": "503-639-0722",
"fax_number": "503-639-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "VU",
"middle_name": "NGUYEN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-08",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-10649",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0010649",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.