Individual provider Active NPI

Thanh Luu

  • Pharmacist
  • Renton, WA
National Provider Identifier
1659993400
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60943986 Issued in WA
Practice address
200 S 3Rd St
Renton, WA 98057-2031
Phone
(425) 255-4151
NPI assigned
May 15, 2020
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60943986 WA Primary

Addresses

Primary practice location

200 S 3Rd St
Renton, WA 98057-2031

Mailing address

320 Bremerton Ave NE
Renton, WA 98059-5030
Phone (206) 766-0272

Other practice location 1

12405 NE 85th St
Kirkland, WA 98033-8032
Phone (425) 822-9202

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

LicenseStateTypeSpecialty
PH60943986WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1659993400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BREMERTON AVE NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980595030",
            "telephone_number": "206-766-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 3RD ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572031",
            "telephone_number": "425-255-4151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12405 NE 85th St",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980338032",
            "country_code": "US",
            "telephone_number": "425-822-9202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUU",
        "first_name": "THANH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60943986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.