Mimi Le, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0011912 Issued in WV

Practice address

827 Fairmont Rd Ste 104
Morgantown, WV 26501-3857

Phone

(571) 639-9027

NPI assigned

Jan 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1235779356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25153 CUTGRASS TER",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201055639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 FAIRMONT RD STE 104",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265013857",
            "telephone_number": "571-639-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "MIMI",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0011912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "work",
            "affiliation": "N",
            "address_1": "827 Fairmont Rd Ste 104",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265013857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Kay Layman
• Ginger Patty Layne, M.D.
• Richard D Layne, M. D.
• Kenneth Lazenby
• Stephanie Lazzelle
• Adrea Lynn Leach, CPNP
• Kelsey Leadman, PA-C
• Leah McIntire, Ma, LPC
• Carolynne Leasure Pitts
• Brendon Danielle Lee

• All providers in Morgantown, WV
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.