NPIMap

Organization Active NPI

Luu Drug Stores LLC

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1891043592
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482298 Issued in PA
Legal business name
LUU DRUG STORES LLC
Doing business as
LIVE WELL PHARMACY @ RISING SUN
Practice address
5805 Rising Sun Ave
Philadelphia, PA 19120-1125
Phone
(215) 821-2883
Fax
(215) 821-2708
NPI assigned
Aug 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Truong Luu, RPHNPI 1508417411
Title
Pharmacy Owner
Phone
(610) 761-6625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP482298 PA Primary

Addresses

Primary practice location

5805 Rising Sun Ave
Philadelphia, PA 19120-1125

Mailing address

3811 School LN
Drexel Hill, PA 19026-3113
Phone (610) 626-4549

Other identifiers 2

IdentifierTypeStateIssuer
1027532470001MedicaidPA
2136709OtherPK

Other names 1

  • LIVE WELL PHARMACY @ RISING SUN Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1891043592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 SCHOOL LN",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263113",
            "telephone_number": "610-626-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201125",
            "telephone_number": "215-821-2883",
            "fax_number": "215-821-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUU DRUG STORES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "TRUONG",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "610-761-6625",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027532470001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136709",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVE WELL PHARMACY @ RISING SUN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.