Active NPI
My Phuong Vu
- Pharmacist
- Lynnwood, WA
National Provider Identifier
1255046884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61186275
- Practice address
- 19507 Highway 99
Lynnwood, WA 98036-5236 - Phone
- (425) 640-0646
- NPI assigned
- Jan 18, 2023
- 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 | PH61186275 | WA | Primary |
Addresses
Primary practice location
19507 Highway 99
Lynnwood, WA 98036-5236
Mailing address
27 115TH St SE
Everett, WA 98208-4942
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 |
|---|---|---|---|
| PH61186275 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1255046884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 115TH ST SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982084942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19507 HIGHWAY 99",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365236",
"telephone_number": "425-640-0646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "MY PHUONG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-18",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61186275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.