Individual provider Active NPI

Thong Huy Le, PHARMD

  • Pharmacist
  • Ukiah, CA
National Provider Identifier
1053089805
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
85012 Issued in CA
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

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Safeway Inc PastSince Sep 1, 2021 Accepting new patients
Safeway Inc PastSince Sep 1, 2021 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.

Verify at the official NPI Registry.