Active NPI
Nguyen Thanh Vo, PHARM.D.
- Pharmacist
- Mount Vernon, WA
National Provider Identifier
1730560673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60567683
- Practice address
- 1415 E Kincaid St
Mount Vernon, WA 98274-4126 - Phone
- (360) 424-4111
- NPI assigned
- Jun 16, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IR60561166 | WA | |
| Pharmacist | 183500000X | PH60567683 | WA | Primary |
Addresses
Primary practice location
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Mailing address
1511 Maple St
Everett, WA 98201-2129
Phone (714) 653-5059
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 |
|---|---|---|---|
| PH60567683 | WA | MD | Pharmacist |
| IR60561166 | WA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1730560673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 MAPLE ST",
"city": "EVERETT",
"state": "WA",
"postal_code": "982012129",
"telephone_number": "714-653-5059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 E KINCAID ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744126",
"telephone_number": "360-424-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VO",
"first_name": "NGUYEN",
"middle_name": "THANH",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-16",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "IR60561166",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60567683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.