Individual provider Active NPI

Kim Long Thi Vo, PHARMACIST

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1619458213
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
59894 Issued in CA
Practice address
3177 Ocean View Blvd
San Diego, CA 92113-1432
Phone
(619) 231-9300
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 59894 CA Primary

Addresses

Primary practice location

3177 Ocean View Blvd
San Diego, CA 92113-1432

Mailing address

13367 Sunshine Path
San Diego, CA 92129-4703
Phone (619) 203-1098

Other practice location 1

6336 College Grove Way
San Diego, CA 92115-7244
Phone (619) 858-0097

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

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1619458213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13367 SUNSHINE PATH",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294703",
            "telephone_number": "619-203-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3177 OCEAN VIEW BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921131432",
            "telephone_number": "619-231-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6336 College Grove Way",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921157244",
            "country_code": "US",
            "telephone_number": "619-858-0097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VO",
        "first_name": "KIM LONG",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "59894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.