Individual provider Active NPI

Jimmy Hien Thai Le, PHARM.D.

  • Pharmacist
  • Chino, CA
National Provider Identifier
1013445170
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
76321 Issued in CA
Practice address
3944 Grand Ave
Chino, CA 91710-5422
Phone
(909) 364-0725
NPI assigned
Jun 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 76321 CA Primary

Addresses

Primary practice location

3944 Grand Ave
Chino, CA 91710-5422

Mailing address

6862 Riverrun CT
Mira Loma, CA 91752-3437
Phone (951) 332-1594

Other names 1

  • Jimmy Le Other name

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

LicenseStateTypeSpecialty
76321CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1013445170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6862 RIVERRUN CT",
            "city": "MIRA LOMA",
            "state": "CA",
            "postal_code": "917523437",
            "telephone_number": "951-332-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 GRAND AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105422",
            "telephone_number": "909-364-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI LE",
        "first_name": "JIMMY HIEN",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "76321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIMMY",
            "last_name": "LE",
            "credential": "PHARM.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.