Active NPI
Katie Luu
- Pharmacist
- Fleming Island, FL
National Provider Identifier
1982270617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS61756
- Practice address
- 1545 County Road 220
Fleming Island, FL 32003-7922 - Phone
- (904) 264-0398
- NPI assigned
- Jun 2, 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 | PS61756 | FL | Primary |
Addresses
Primary practice location
1545 County Road 220
Fleming Island, FL 32003-7922
Mailing address
2437 Southern Links Dr
Fleming Island, FL 32003-8372
Phone (240) 535-1589
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 |
|---|---|---|---|
| PS61756 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1982270617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2437 SOUTHERN LINKS DR",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320038372",
"telephone_number": "240-535-1589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 COUNTY ROAD 220",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320037922",
"telephone_number": "904-264-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "KATIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-02",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS61756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fleming Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.