Individual provider Active NPI

Judy Vu Spica, PHARMD

  • Pharmacist
  • Glen Mills, PA
National Provider Identifier
1437431905
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP445106 Issued in PA
Practice address
51 Baltimore Pike
Walgreens
Glen Mills, PA 19342-9442
Phone
(610) 358-9725
NPI assigned
Sep 12, 2011
Last updated
Jul 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X A1-0004082 DE
Pharmacist 183500000X RP445106 PA Primary
Pharmacist 183500000X 28RI03424100 NJ

Addresses

Primary practice location

51 Baltimore Pike
Walgreens
Glen Mills, PA 19342-9442

Mailing address

51 Baltimore Pike
Walgreens
Glen Mills, PA 19342-9442
Phone (610) 358-9725

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
A1-0004082DEMDPharmacist
28RI03424100NJMDPharmacist
RP445106PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1437431905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 BALTIMORE PIKE",
            "address_2": "WALGREENS",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193429442",
            "telephone_number": "610-358-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 BALTIMORE PIKE",
            "address_2": "WALGREENS",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193429442",
            "telephone_number": "610-358-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICA",
        "first_name": "JUDY",
        "middle_name": "VU",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0004082",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP445106",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03424100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.