Active NPI
Thong Huy Le, PHARMD
- Pharmacist
- Ukiah, CA
National Provider Identifier
1053089805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85012
- Practice address
- 1155 Airport Park Blvd
Ukiah, CA 95482-5998 - Phone
- (707) 468-0171
- Fax
- (707) 468-8505
- NPI assigned
- Sep 4, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 85012 | CA | Primary |
Addresses
Primary practice location
1155 Airport Park Blvd
Ukiah, CA 95482-5998
Mailing address
1155 Airport Park Blvd
Ukiah, CA 95482-5998
Phone (707) 468-0171
Other practice location 1
1071 11th St
Lakeport, CA 95453-4105
Phone (707) 263-8779
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1053089805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 AIRPORT PARK BLVD",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825998",
"telephone_number": "707-468-0171",
"fax_number": "707-468-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 AIRPORT PARK BLVD",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825998",
"telephone_number": "707-468-0171",
"fax_number": "707-468-8505"
}
],
"practiceLocations": [
{
"address_1": "1071 11th St",
"address_purpose": "LOCATION",
"city": "Lakeport",
"state": "CA",
"postal_code": "954534105",
"country_code": "US",
"telephone_number": "707-263-8779",
"fax_number": "707-263-8783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "THONG",
"middle_name": "HUY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-04",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.