Active NPI
Luc Le, PHARM.D.
- Pharmacist
- Melbourne, FL
National Provider Identifier
1255814513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS58441
- Practice address
- 1350 Hickory St
Melbourne, FL 32901-3278 - Phone
- (714) 312-9205
- NPI assigned
- Sep 12, 2018
- Sex
- Male
- 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 | PS58441 | FL | Primary |
Addresses
Primary practice location
1350 Hickory St
Melbourne, FL 32901-3278
Mailing address
704 S 23Rd St
Renton, WA 98055-4206
Phone (714) 312-9205
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 |
|---|---|---|---|
| PS58441 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1255814513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 S 23RD ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980554206",
"telephone_number": "714-312-9205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HICKORY ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013278",
"telephone_number": "714-312-9205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "LUC",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-12",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "FL",
"license": "PS58441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.