Active NPI
Phuong Vu
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Tucker, GA
National Provider Identifier
1699300970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH031710
- Practice address
- 4357 Lawrenceville Hwy
Tucker, GA 30084-3773 - Phone
- (770) 934-8322
- NPI assigned
- Mar 7, 2020
- Last updated
- May 29, 2026
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH031710 | GA | Primary |
Addresses
Primary practice location
4357 Lawrenceville Hwy
Tucker, GA 30084-3773
Mailing address
1250 Water Shine Way
Snellville, GA 30078-7744
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 |
|---|---|---|---|
| RPH031710 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co | Past | Accepting new patients | |
| The Kroger Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1699300970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 WATER SHINE WAY",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300787744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4357 LAWRENCEVILLE HWY",
"city": "TUCKER",
"state": "GA",
"postal_code": "300843773",
"telephone_number": "770-934-8322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "PHUONG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-07",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "GA",
"license": "RPH031710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.