Active NPI
Quang Nhat Vu, PHARMACIST
- Pharmacist
- Fountain Valley, CA
National Provider Identifier
1346986965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80088
- Practice address
- 16040 Harbor Blvd Ste K
Fountain Valley, CA 92708-1327 - Phone
- (714) 531-9988
- NPI assigned
- May 6, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 80088 | CA | Primary |
Addresses
Primary practice location
16040 Harbor Blvd Ste K
Fountain Valley, CA 92708-1327
Mailing address
10831 Allen Dr
Garden Grove, CA 92840-3253
Phone (714) 467-7687
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 |
|---|---|---|---|
| 80088 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Healthy Living Pharmacy Inc | Past | Accepting new patients | |
| Harbor Healthy Living Pharmacy Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Santa Ana, CA
- NPI 1720678675
-
- Community/Retail Pharmacy
- Fountain Valley, CA
- NPI 1760757439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1346986965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10831 ALLEN DR",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928403253",
"telephone_number": "714-467-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16040 HARBOR BLVD STE K",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081327",
"telephone_number": "714-531-9988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "QUANG",
"middle_name": "NHAT",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-06",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.