Active NPI
Giao Quynh Le, PHARM.D
- Pharmacist
- Pantego, TX
National Provider Identifier
1124628318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47281
- Practice address
- 2610 W Pioneer Pkwy
Pantego, TX 76013-5904 - Phone
- (817) 303-4302
- NPI assigned
- Oct 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.018630 | LA | |
| Pharmacist | 183500000X | 47281 | TX | Primary |
Addresses
Primary practice location
2610 W Pioneer Pkwy
Pantego, TX 76013-5904
Mailing address
4508 Seventeen Lakes CT
Roanoke, TX 76262-3741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 469697 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gle.s03594@us.wal-mart.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PST.018630 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores Texas LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Pantego, TX
- NPI 1659398790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1124628318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4508 SEVENTEEN LAKES CT",
"city": "ROANOKE",
"state": "TX",
"postal_code": "762623741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 W PIONEER PKWY",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760135904",
"telephone_number": "817-303-4302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "GIAO",
"middle_name": "QUYNH",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.018630",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "47281",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "469697",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gle.s03594@us.wal-mart.com",
"affiliation": "N",
"address_1": "2610 W Pioneer Pkwy",
"city": "Pantego",
"state": "TX",
"country_code": "US",
"postal_code": "760135904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pantego, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.