Jacey M Vu

Primary specialty

PharmacistTaxonomy code 183500000X

License

69970 Issued in TX

Practice address

4100 Dale Earnhardt Way Ste 200
Northlake, TX 76262-2389

Phone

(817) 859-1400

NPI assigned

Aug 14, 2023

Last updated

Aug 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #21373

  • Mail Order Pharmacy
  • Northlake, TX
  • NPI 1366028995
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1366225518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 PALMDALE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232670",
            "telephone_number": "682-234-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 DALE EARNHARDT WAY STE 200",
            "city": "NORTHLAKE",
            "state": "TX",
            "postal_code": "762622389",
            "telephone_number": "817-859-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "JACEY",
        "middle_name": "M",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "69970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Junior Tobias, D.D.S.
• Today Dental of Northlake
• Total Set Solutions LLC
• Victory Speech Therapy (Victoria Helfrich)
• Vivid Performance Physical Therapy
• Walgreen Co (Walgreens #21373)
• Justin Watts
• Cody Glenn White, D.O.
• Kaley Leann Wymack, RN
• Keaton Elliot Yowell, DPT

• Pharmacist in Northlake, TX
• Providers in Northlake, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.