Active NPI
Hoang Vu, PHARM. D
- Pharmacist
- Granite Bay, CA
National Provider Identifier
1558779215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69372
- Practice address
- 4080 Douglas Blvd
Granite Bay, CA 95746-5900 - Phone
- (916) 380-3262
- NPI assigned
- Jul 25, 2014
- Sex
- Female
- 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 | 69372 | CA | Primary |
Addresses
Primary practice location
4080 Douglas Blvd
Granite Bay, CA 95746-5900
Mailing address
4080 Douglas Blvd
Granite Bay, CA 95746-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558779215 | Other | CA | NPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 69372 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Eastvale, CA
- NPI 1770458945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1558779215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4080 DOUGLAS BLVD",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957465900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 DOUGLAS BLVD",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957465900",
"telephone_number": "916-380-3262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "HOANG",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-25",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69372",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1558779215",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Granite Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.