NPIMap

Individual provider Active NPI

Thu-Hong Thi Le

  • Pharmacist
  • Lakeland, FL
National Provider Identifier
1184229189
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS47413 Issued in FL
Practice address
6105 US Highway 98 N
Lakeland, FL 33809-6223
Phone
(863) 858-4441
Fax
(863) 859-2394
NPI assigned
Nov 30, 2020
Last updated
Nov 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS47413 FL Primary

Addresses

Primary practice location

6105 US Highway 98 N
Lakeland, FL 33809-6223

Mailing address

6105 US Highway 98 N
Lakeland, FL 33809-6223
Phone (863) 858-4441

Other identifiers 1

IdentifierTypeStateIssuer
N1902900806OtherFLPHARMACIST

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://nppes.cms.hhs.gov/#/healthInformationExchange Direct
CONNECT URL WWW.CVS.COM Direct Holiday CVS LLC

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
PS47413FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Holiday CVS L.L.C. PastSince Dec 6, 2020 Accepting new patients
Holiday CVS LLC PastSince Dec 6, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1184229189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 US HIGHWAY 98 N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338096223",
            "telephone_number": "863-858-4441",
            "fax_number": "863-859-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 US HIGHWAY 98 N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338096223",
            "telephone_number": "863-858-4441",
            "fax_number": "863-859-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "THU-HONG",
        "middle_name": "THI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS47413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "N1902900806",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://nppes.cms.hhs.gov/#/healthInformationExchange",
            "affiliation": "N",
            "endpointDescription": "CVS PHARMACY",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Valrico",
            "address_1": "1305 Emerald Hill Way",
            "city": "Valrico",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335945027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.CVS.COM",
            "affiliation": "Y",
            "endpointDescription": "CVS PHARMACY",
            "affiliationName": "Holiday CVS LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6105 US Highway 98 N",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338096223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.