Active NPI
Tracy Luu, PHARMD
- Pharmacist
- Garden Grove, CA
National Provider Identifier
1841969938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85075
- Practice address
- 12491 Valley View St
Garden Grove, CA 92845-2032 - Phone
- (714) 894-9230
- NPI assigned
- Sep 10, 2021
- Sex
- Female
- 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 | 85075 | CA | Primary |
Addresses
Primary practice location
12491 Valley View St
Garden Grove, CA 92845-2032
Mailing address
14581 Abington Cir
Westminster, CA 92683-5837
Phone (714) 386-2662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85075 | Other | CA | LICENSE NUMBER |
Other names 1
- Tracy My-Kim Luu
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 |
|---|---|---|---|
| 85075 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 05742
- Community/Retail Pharmacy
- Garden Grove, CA
- NPI 1255440707
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1841969938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14581 ABINGTON CIR",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926835837",
"telephone_number": "714-386-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12491 VALLEY VIEW ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928452032",
"telephone_number": "714-894-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "TRACY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-10",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "85075",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "LUU",
"middle_name": "MY-KIM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.