Active NPI
Phuong Thanh Luu, PHARMD
- Pharmacist
- Dayton, OH
National Provider Identifier
1760900278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03237073
- Practice address
- 230 N Main St
Dayton, OH 45402-1263 - Phone
- (937) 487-5042
- NPI assigned
- Sep 5, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 019548 | KY | |
| Pharmacist | 183500000X | 03237073 | OH | Primary |
Addresses
Primary practice location
230 N Main St
Dayton, OH 45402-1263
Mailing address
9920 Lancewood Rd
Louisville, KY 40229-1680
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 |
|---|---|---|---|
| 019548 | KY | MD | Pharmacist |
| 03237073 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504569600000",
"number": "1760900278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9920 LANCEWOOD RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402291680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N MAIN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454021263",
"telephone_number": "937-487-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "PHUONG",
"middle_name": "THANH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2017-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "019548",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03237073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.