Active NPI
Phuong Thi Le, RPH
- Pharmacist
- Chattanooga, TN
National Provider Identifier
1255812632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77182
- Practice address
- 3605 Brainerd Rd
Chattanooga, TN 37411-3602 - Phone
- (423) 622-7520
- Fax
- (423) 622-4729
- NPI assigned
- Aug 23, 2018
- Last updated
- Dec 29, 2022
- 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 | 77182 | CA | Primary |
Addresses
Primary practice location
3605 Brainerd Rd
Chattanooga, TN 37411-3602
Mailing address
5051 Ming Ave Apt 9
Bakersfield, CA 93309-4751
Other practice location 1
1435 High St
Delano, CA 93215-1714
Phone (661) 721-2294
Other practice location 2
3315 S H St
Bakersfield, CA 93304-6533
Phone (661) 396-0634
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77182 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 4
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": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1255812632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5051 MING AVE APT 9",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933094751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 BRAINERD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374113602",
"telephone_number": "423-622-7520",
"fax_number": "423-622-4729"
}
],
"practiceLocations": [
{
"address_1": "1435 High St",
"address_purpose": "LOCATION",
"city": "Delano",
"state": "CA",
"postal_code": "932151714",
"country_code": "US",
"telephone_number": "661-721-2294",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3315 S H St",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933046533",
"country_code": "US",
"telephone_number": "661-396-0634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "PHUONG",
"middle_name": "THI",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.