Individual provider Active NPI

Alexis H Le

  • Pharmacist
  • Willow Street, PA
National Provider Identifier
1134482144
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP042453L Issued in PA
Practice address
2600 N Willow Street Pike
Kmart Pharmacy #3810
Willow Street, PA 17584
Phone
(717) 464-4399
Fax
(717) 464-1734
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP042453L PA Primary

Addresses

Primary practice location

2600 N Willow Street Pike
Kmart Pharmacy #3810
Willow Street, PA 17584

Mailing address

2600 N Willow Street Pike
Kmart Pharmacy #3810
Willow Street, PA 17584

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

LicenseStateTypeSpecialty
RP042453LPAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1134482144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N WILLOW STREET PIKE",
            "address_2": "KMART PHARMACY #3810",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "17584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N WILLOW STREET PIKE",
            "address_2": "KMART PHARMACY #3810",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "17584",
            "telephone_number": "717-464-4399",
            "fax_number": "717-464-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "ALEXIS",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP042453L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Street, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.