Active NPI
Phong Vu Luu, PHARMD
- Pharmacist
- El Monte, CA
National Provider Identifier
1982012118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65065
- Practice address
- 4901 Santa Anita Ave
El Monte, CA 91731-1415 - Phone
- (626) 652-6915
- Fax
- (626) 652-6917
- NPI assigned
- Jul 31, 2014
- 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 | 65065 | CA | Primary |
| Pharmacist | 183500000X | 17937 | NV |
Addresses
Primary practice location
4901 Santa Anita Ave
El Monte, CA 91731-1415
Mailing address
9333 Siskin Ave
Fountain Valley, CA 92708-6553
Phone (714) 757-7976
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 |
|---|---|---|---|
| 65065 | CA | MD | Pharmacist |
| 17937 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sam'S West Inc | Past | Accepting new patients | |
| Sam'S West, 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- El Monte, CA
- NPI 1952543761
-
- Community/Retail Pharmacy
- Tempe, AZ
- NPI 1235938416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1982012118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9333 SISKIN AVE",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086553",
"telephone_number": "714-757-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 SANTA ANITA AVE",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917311415",
"telephone_number": "626-652-6915",
"fax_number": "626-652-6917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "PHONG",
"middle_name": "VU",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-31",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "65065",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "17937",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.