Active NPI
Khoi Minh Vu, RPH
- Pharmacist
- Henderson, NV
National Provider Identifier
1700500675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19961
- Practice address
- 60 N Valle Verde Dr
Henderson, NV 89074-1756 - Phone
- (702) 898-0036
- NPI assigned
- Oct 3, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 80239 | CA | |
| Pharmacist | 183500000X | 19961 | NV | Primary |
Addresses
Primary practice location
60 N Valle Verde Dr
Henderson, NV 89074-1756
Mailing address
8449 Granite Springs CT
Las Vegas, NV 89139-7167
Phone (714) 470-0361
Other practice location 1
8449 Granite Springs Ct
Las Vegas, NV 89139-7167
Phone (714) 470-0361
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19961 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warm Springs Road CVS, L.L.C. | Past | Accepting new patients | |
| Warm Springs Road CVS LLC | 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": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1700500675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8449 GRANITE SPRINGS CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891397167",
"telephone_number": "714-470-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 N VALLE VERDE DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890741756",
"telephone_number": "702-898-0036"
}
],
"practiceLocations": [
{
"address_1": "8449 Granite Springs Ct",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891397167",
"country_code": "US",
"telephone_number": "714-470-0361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VU",
"first_name": "KHOI",
"middle_name": "MINH",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80239",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "19961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.