Active NPI
Loc Khac Le, PHARMD
- Pharmacist
- Casa Grande, AZ
National Provider Identifier
1275864241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S012817
- Practice address
- 2858 N Pinal Ave
Casa Grande, AZ 85122-7917 - Phone
- (520) 426-4701
- NPI assigned
- Jan 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S012817 | AZ | Primary |
| Pharmacist | 183500000X | 1219 | AZ |
Addresses
Primary practice location
2858 N Pinal Ave
Casa Grande, AZ 85122-7917
Mailing address
500 S 99TH Ave
Tolleson, AZ 85353-9700
Phone (623) 907-4932
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 |
|---|---|---|---|
| 1219 | AZ | MD | Optometrist |
| S012817 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1275864241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S 99TH AVE",
"city": "TOLLESON",
"state": "AZ",
"postal_code": "853539700",
"telephone_number": "623-907-4932",
"fax_number": "623-907-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2858 N PINAL AVE",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851227917",
"telephone_number": "520-426-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "LOC",
"middle_name": "KHAC",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-14",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S012817",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "1219",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.