Active NPI
Van Anh Luu, PHARMD
- Pharmacist
- West Jordan, UT
National Provider Identifier
1639765910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 104936811701
- Practice address
- 5710 W 7800 S
West Jordan, UT 84081-5400 - Phone
- (801) 545-3480
- NPI assigned
- Dec 21, 2020
- Sex
- Female
- 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 | 104936811701 | UT | Primary |
Addresses
Primary practice location
5710 W 7800 S
West Jordan, UT 84081-5400
Mailing address
2651 Bellezza Dr
San Diego, CA 92108-4765
Phone (949) 331-6295
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 |
|---|---|---|---|
| 104936811701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1639765910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2651 BELLEZZA DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084765",
"telephone_number": "949-331-6295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5710 W 7800 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840815400",
"telephone_number": "801-545-3480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "VAN",
"middle_name": "ANH",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "104936811701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.