Active NPI
Kimberly Vu
- Pharmacist
- Fremont, CA
National Provider Identifier
1821497033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70861
- Practice address
- 43950 Pacific Commons Blvd
Fremont, CA 94538-3803 - Phone
- (510) 771-1617
- NPI assigned
- Aug 14, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 70861 | CA | Primary |
Addresses
Primary practice location
43950 Pacific Commons Blvd
Fremont, CA 94538-3803
Mailing address
230 S Gain St
Anaheim, CA 92804-2249
Phone (714) 404-7876
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70861 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1821497033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 S GAIN ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928042249",
"telephone_number": "714-404-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43950 PACIFIC COMMONS BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945383803",
"telephone_number": "510-771-1617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.