Active NPI
Justin Quoc Luu, PHARMD
- Pharmacist
- Colville, WA
National Provider Identifier
1811566920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60961876
- Practice address
- 358 N Main St
Colville, WA 99114-2310 - Phone
- (509) 684-1440
- NPI assigned
- Jun 22, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60961876 | WA | Primary |
Addresses
Primary practice location
358 N Main St
Colville, WA 99114-2310
Mailing address
1321 151St PL SE
Mill Creek, WA 98012-8267
Phone (425) 918-2115
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 |
|---|---|---|---|
| PH60961876 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1811566920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 151ST PL SE",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980128267",
"telephone_number": "425-918-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 N MAIN ST",
"city": "COLVILLE",
"state": "WA",
"postal_code": "991142310",
"telephone_number": "509-684-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "JUSTIN",
"middle_name": "QUOC",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60961876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.