Active NPI
David Minh Vuong, PHARM D
- Pharmacist
- Travis Afb, CA
National Provider Identifier
1881925386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP444378
- Practice address
- 101 Bodin Circle
Pharmacy
Travis Afb, CA 94535 - Phone
- (707) 423-7656
- NPI assigned
- Jan 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 20799 | NC | |
| Pharmacist | 183500000X | RP444378 | PA | Primary |
Addresses
Primary practice location
101 Bodin Circle
Pharmacy
Travis Afb, CA 94535
Mailing address
6801 Leisure Town Rd
Apt 12
Vacaville, CA 95688-9432
Phone (215) 939-3404
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 |
|---|---|---|---|
| 20799 | NC | MD | Pharmacist |
| RP444378 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418083200000",
"number": "1881925386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 LEISURE TOWN RD",
"address_2": "APT 12",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956889432",
"telephone_number": "215-939-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BODIN CIRCLE",
"address_2": "PHARMACY",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "94535",
"telephone_number": "707-423-7656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUONG",
"first_name": "DAVID",
"middle_name": "MINH",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-22",
"last_updated": "2014-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20799",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP444378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Travis Afb, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.