Active NPI
Tiffany Le
- Pharmacist
- Tamuning, GU
National Provider Identifier
1053708248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS48168
- Practice address
- 999 S Marine Corps Dr
Unit 801
Tamuning, GU 96913-3415 - Phone
- (671) 482-6978
- NPI assigned
- Apr 25, 2015
- Last updated
- Apr 25, 2015
- 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 | PS48168 | FL | Primary |
Addresses
Primary practice location
999 S Marine Corps Dr
Unit 801
Tamuning, GU 96913-3415
Mailing address
999 S Marine Corps Dr
Unit 801
Tamuning, GU 96913-3415
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 |
|---|---|---|---|
| PS48168 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429920000000",
"number": "1053708248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 S MARINE CORPS DR",
"address_2": "UNIT 801",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 S MARINE CORPS DR",
"address_2": "UNIT 801",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133415",
"telephone_number": "671-482-6978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "TIFFANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-25",
"last_updated": "2015-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS48168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.