Active NPI
Vanson Tradzu Luu, PHARMD
- Pharmacist
- Moreno Valley, CA
National Provider Identifier
1720353832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH56603
- Practice address
- 25011 Alessandro Blvd
Moreno Valley, CA 92553-4312 - Phone
- (951) 485-1116
- Fax
- (951) 485-4257
- NPI assigned
- Mar 21, 2012
- Last updated
- Mar 21, 2012
- 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 | RPH56603 | CA | Primary |
Addresses
Primary practice location
25011 Alessandro Blvd
Moreno Valley, CA 92553-4312
Mailing address
25011 Alessandro Blvd
Moreno Valley, CA 92553-4312
Phone (951) 485-1116
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 |
|---|---|---|---|
| RPH56603 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VLN Health and Wellness LLC | Current | Accepting new patients | |
| One Stop Pharmacare Inc | Current | 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.
-
dba Canary Pharmacy
- Community/Retail Pharmacy
- Garden Grove, CA
- NPI 1124882469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1720353832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25011 ALESSANDRO BLVD",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925534312",
"telephone_number": "951-485-1116",
"fax_number": "951-485-4257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25011 ALESSANDRO BLVD",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925534312",
"telephone_number": "951-485-1116",
"fax_number": "951-485-4257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "VANSON",
"middle_name": "TRADZU",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-21",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH56603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
- Kevin Luong, PHARMD
- Lucille Rose Luong, RDN
- Jasmine Nicole Luque
- Maria T Luquin Cardenas
- Cailey Lushanko, DNP-CRNA
- Luxottica of America Inc. (LensCrafters #1046)
- Luxottica Retail North America Inc (Target Optical #C4417)
- Jeannie Ly
- Michael Minh Ba Ly, D.O
- Lynn Daz, D.D.S. ,Inc. (Moreno Valley Endodontics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.