Active NPI
Quyen Han Luu
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1598322232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19913
- Practice address
- 6555 N Decatur Blvd
Las Vegas, NV 89131-2796 - Phone
- (702) 415-2300
- NPI assigned
- May 28, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19913 | NV | Primary |
Addresses
Primary practice location
6555 N Decatur Blvd
Las Vegas, NV 89131-2796
Mailing address
4365 Silver Bay St
Las Vegas, NV 89147-6148
Phone (702) 417-6006
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 |
|---|---|---|---|
| 19913 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1598322232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4365 SILVER BAY ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891476148",
"telephone_number": "702-417-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6555 N DECATUR BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891312796",
"telephone_number": "702-415-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "QUYEN",
"middle_name": "HAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-28",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "19913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.