Active NPI
Stephanie Hanh Luu
- Pharmacist
- Brentwood, CA
National Provider Identifier
1215527551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83689
- Practice address
- 3171 Balfour Rd
Brentwood, CA 94513-2962 - Phone
- (925) 626-3963
- NPI assigned
- Jan 20, 2021
- Last updated
- Jan 20, 2021
- Sex
- Female
- 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 | 83689 | CA | Primary |
Addresses
Primary practice location
3171 Balfour Rd
Brentwood, CA 94513-2962
Mailing address
3171 Balfour Rd
Brentwood, CA 94513-2962
Phone (925) 626-3963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47503232D | Other | CA | BLUE ANTHEM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sluu@pacific.edu | Direct |
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 |
|---|---|---|---|
| 83689 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California, LLC | Past | Accepting new patients | |
| Longs Drug Store California 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1215527551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3171 BALFOUR RD",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945132962",
"telephone_number": "925-626-3963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3171 BALFOUR RD",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945132962",
"telephone_number": "925-626-3963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "STEPHANIE",
"middle_name": "HANH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-20",
"last_updated": "2021-01-20",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE ANTHEM",
"identifier": "47503232D",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sluu@pacific.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3171 Balfour Rd",
"city": "Brentwood",
"state": "CA",
"country_code": "US",
"postal_code": "945132962",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.