Individual provider Active NPI

Thuan Vu, PHARMD

  • Pharmacist
  • Dallas, TX
National Provider Identifier
1467732016
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
55570 Issued in TX
Practice address
3651 Sable Ridge Dr
Dallas, TX 75287
Phone
(813) 391-7216
NPI assigned
Aug 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 55570 TX Primary

Addresses

Primary practice location

3651 Sable Ridge Dr
Dallas, TX 75287

Mailing address

3651 Sable Ridge Dr
Dallas, TX 75287-6264
Phone (813) 391-7216

Other practice location 1

14 Elmwood St
Apartment 1
Portland, ME 04103-3362
Phone (813) 391-7216

Other practice location 2

3651 Sable Ridge Dr
Dallas, TX 75287-6264
Phone (813) 391-7216

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
55570TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1467732016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 SABLE RIDGE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876264",
            "telephone_number": "813-391-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 SABLE RIDGE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75287",
            "telephone_number": "813-391-7216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Elmwood St",
            "address_2": "Apartment 1",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041033362",
            "country_code": "US",
            "telephone_number": "813-391-7216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3651 Sable Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752876264",
            "country_code": "US",
            "telephone_number": "813-391-7216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "THUAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-26",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "55570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.