Active NPI
Ivy Vu
- Geriatric Pharmacist
- Fresno, CA
National Provider Identifier
1417538604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 52784
- Practice address
- 4910 E Ashlan Ave
Fresno, CA 93726-3020 - Phone
- (800) 499-9079
- NPI assigned
- Apr 19, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 52784 | CA | Primary |
Addresses
Primary practice location
4910 E Ashlan Ave
Fresno, CA 93726-3020
Mailing address
4910 E Ashlan Ave
Fresno, CA 93726-3020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ivy.vu@pharmerica.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1417538604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 E ASHLAN AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937263020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 E ASHLAN AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937263020",
"telephone_number": "800-499-9079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "IVY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-19",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist, Geriatric",
"state": "CA",
"license": "52784",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ivy.vu@pharmerica.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4910 E Ashlan Ave",
"city": "Fresno",
"state": "CA",
"country_code": "US",
"postal_code": "937263020",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.