Active NPI
Johnathan H Vu, PHARM D.
- Pharmacist
- Ontario, CA
National Provider Identifier
1720497613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58130
- Practice address
- 951 N Milliken Ave
Ontario, CA 91764 - Phone
- (909) 476-9083
- Fax
- (909) 476-9044
- NPI assigned
- Aug 5, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 58130 | CA | Primary |
Addresses
Primary practice location
951 N Milliken Ave
Ontario, CA 91764
Mailing address
951 N Milliken Ave
Ontario, CA 91764
Phone (909) 476-9083
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 |
|---|---|---|---|
| 58130 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1720497613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 N MILLIKEN AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "91764",
"telephone_number": "909-476-9083",
"fax_number": "909-476-9044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 N MILLIKEN AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "91764",
"telephone_number": "909-476-9083",
"fax_number": "909-476-9044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "JOHNATHAN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-05",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "58130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.