Active NPI
Michelle Phuong Uyen Le, PHARMACIST
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1033854492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 86044
- Practice address
- 1500 E Gage Ave
Los Angeles, CA 90001-1724 - Phone
- (323) 581-0964
- NPI assigned
- Apr 30, 2022
- Last updated
- Apr 30, 2022
- 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 | 86044 | CA | Primary |
Addresses
Primary practice location
1500 E Gage Ave
Los Angeles, CA 90001-1724
Mailing address
8931 Ernest Fulsom Dr
Garden Grove, CA 92841-4606
Phone (714) 653-0169
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 |
|---|---|---|---|
| 86044 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1500 E Gage Ave
Los Angeles, CA 90001
Phone (323) 581-0964
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": "1651276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651276800000",
"number": "1033854492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8931 ERNEST FULSOM DR",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928414606",
"telephone_number": "714-653-0169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E GAGE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900011724",
"telephone_number": "323-581-0964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "MICHELLE",
"middle_name": "PHUONG UYEN",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-30",
"last_updated": "2022-04-30",
"certification_date": "2022-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "86044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.