Individual provider Active NPI

Ngoc Anh Le Marshall

  • Pharmacist
  • Shenandoah, TX
National Provider Identifier
1003416215
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
47633 Issued in TX
Practice address
19091 I 45 S
Shenandoah, TX 77385-8748
Phone
(932) 271-1760
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 47633 TX Primary

Addresses

Primary practice location

19091 I 45 S
Shenandoah, TX 77385-8748

Mailing address

18638 Scoresby Manor Dr
Spring, TX 77379-5319
Phone (832) 585-7205

Other practice location 1

1405 Earl Rudder Fwy S
College Station, TX 77845-6033
Phone (979) 696-0128

Other practice location 2

325 E Richey Rd
Houston, TX 77073-6038
Phone (281) 821-1096

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

LicenseStateTypeSpecialty
47633TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1003416215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18638 SCORESBY MANOR DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795319",
            "telephone_number": "832-585-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19091 I 45 S",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858748",
            "telephone_number": "932-271-1760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 Earl Rudder Fwy S",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778456033",
            "country_code": "US",
            "telephone_number": "979-696-0128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 E Richey Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770736038",
            "country_code": "US",
            "telephone_number": "281-821-1096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "NGOC ANH",
        "middle_name": "LE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "47633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.