Individual provider Active NPI

Phuong Anh Vu

  • Pharmacist
  • Gainesville, VA
National Provider Identifier
1366031650
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202209830 Issued in VA
Practice address
4985 Wellington Rd
Gainesville, VA 20155-4052
Phone
(703) 753-2683
NPI assigned
Jan 12, 2021
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202209830 VA Primary

Addresses

Primary practice location

4985 Wellington Rd
Gainesville, VA 20155-4052

Mailing address

7904 Culloden Crest LN
Gainesville, VA 20155-3648
Phone (703) 559-4616

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

LicenseStateTypeSpecialty
0202209830VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Mar 1, 2022 Accepting new patients
Adts, Inc. PastSince Jan 1, 2021 Accepting new patients
Walgreen Co PastSince Feb 27, 2022 Accepting new patients
Amity Health Inc PastSince Jan 1, 2021 Accepting new patients

Locations

4985 Wellington Rd
Gainesville, VA 20155
Phone (703) 753-2683

Organizations & group practices 4

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": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1366031650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7904 CULLODEN CREST LN",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553648",
            "telephone_number": "703-559-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4985 WELLINGTON RD",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554052",
            "telephone_number": "703-753-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "PHUONG ANH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202209830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.