Active NPI
Phuc Trieu
- Pharmacist
- Overland Park, KS
National Provider Identifier
1245624899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-16821
- Practice address
- 8101 W 151St St
Overland Park, KS 66223-2113 - Phone
- (913) 638-3159
- NPI assigned
- Mar 21, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 3-06275 | KS | |
| Pharmacy Technician | 183700000X | 2011023368 | MO | |
| Pharmacist | 183500000X | 1-16821 | KS | Primary |
Addresses
Primary practice location
8101 W 151St St
Overland Park, KS 66223-2113
Mailing address
15521 S Hunter St
Olathe, KS 66062-4033
Phone (913) 638-3159
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 |
|---|---|---|---|
| 1-16821 | KS | MD | Pharmacist |
| 3-06275 | KS | MD | Pharmacy Technician |
| 2011023368 | MO | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435622400000",
"number": "1245624899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15521 S HUNTER ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660624033",
"telephone_number": "913-638-3159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 W 151ST ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662232113",
"telephone_number": "913-638-3159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIEU",
"first_name": "PHUC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-21",
"last_updated": "2015-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "KS",
"license": "3-06275",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MO",
"license": "2011023368",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-16821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.