Active NPI
Jenny-Anh Phuong Le, PHARM.D
- Pharmacist
- Stevensville, MI
National Provider Identifier
1003199118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302038580
- Practice address
- 1710 W John Beers Rd
Stevensville, MI 49127-9409 - Phone
- (269) 429-1153
- NPI assigned
- Sep 25, 2011
- Last updated
- Sep 25, 2011
- 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 | 5302038580 | MI | Primary |
Addresses
Primary practice location
1710 W John Beers Rd
Stevensville, MI 49127-9409
Mailing address
3061 Windsor Dr
Saint Joseph, MI 49085-9485
Phone (269) 429-3964
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 |
|---|---|---|---|
| 5302038580 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316908800000",
"number": "1003199118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3061 WINDSOR DR",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859485",
"telephone_number": "269-429-3964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 W JOHN BEERS RD",
"city": "STEVENSVILLE",
"state": "MI",
"postal_code": "491279409",
"telephone_number": "269-429-1153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "JENNY-ANH",
"middle_name": "PHUONG",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-25",
"last_updated": "2011-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302038580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stevensville, MI
- Lakeland Medical Practices (Christian Counseling & Psychological Services)
- Lakeland Medical Practices
- Lakshore Family Dental
- Tina W Latham-Enix, C.M.T.
- Lavender and Sage Therapeutic Massage, LLC
- Sarah Leese, PA-C
- Life Steps Family Counseling
- Life Vision Eyecare, PLLC (Life Vision Eyecare)
- Kyesha Ariane Lipscomb, PHARM. D.
- Anna Lonto, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.