Active NPI
Nguyen-Van Lieu
- Pharmacist
- Chandler, AZ
National Provider Identifier
1447677869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15026
- Practice address
- 4902 E Firestone Dr
Chandler, AZ 85249-7394 - Phone
- (480) 298-4709
- NPI assigned
- Mar 24, 2014
- Last updated
- Mar 24, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 15026 | AZ | Primary |
Addresses
Primary practice location
4902 E Firestone Dr
Chandler, AZ 85249-7394
Mailing address
4902 E Firestone Dr
Chandler, AZ 85249-7394
Other names 1
- Van Lieu
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 |
|---|---|---|---|
| 15026 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1447677869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4902 E FIRESTONE DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852497394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4902 E FIRESTONE DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852497394",
"telephone_number": "480-298-4709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEU",
"first_name": "NGUYEN-VAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-24",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "15026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VAN",
"last_name": "LIEU",
"credential": "PHARMD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.