Active NPI
Kim Anh Thi Vu
- Pharmacist
- Crossroads, TX
National Provider Identifier
1861096596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67235
- Practice address
- 11101 US Highway 380
Crossroads, TX 76227-8203 - Phone
- (940) 365-5762
- NPI assigned
- Nov 23, 2020
- 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 | 67235 | TX | Primary |
Addresses
Primary practice location
11101 US Highway 380
Crossroads, TX 76227-8203
Mailing address
290 W Lake Park Rd Apt 915
Lewisville, TX 75057-3888
Phone (225) 907-3445
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 |
|---|---|---|---|
| 67235 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1861096596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 W LAKE PARK RD APT 915",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750573888",
"telephone_number": "225-907-3445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11101 US HIGHWAY 380",
"city": "CROSSROADS",
"state": "TX",
"postal_code": "762278203",
"telephone_number": "940-365-5762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "KIM ANH",
"middle_name": "THI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "67235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crossroads, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.