Individual provider Active NPI

Benjamin Le, RPH, BCPS, REHS

  • Pharmacist
  • Elko, NV
National Provider Identifier
1295027902
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19097 Issued in NV
Practice address
515 Shoshone Cir
Elko, NV 89801-5072
Phone
(916) 712-7357
Fax
(866) 305-6742
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH65893 CA
Basic Emergency Medical Technician 146N00000X 13000504 NM
Basic Emergency Medical Technician 146N00000X 75598 NV
Basic Emergency Medical Technician 146N00000X E3100640 NV
Pharmacist 183500000X RP00007776 NM
Pharmacist 183500000X 051.294981 IL
Pharmacist 183500000X S021139 AZ
Pharmacist 183500000X 19097 NV Primary

Addresses

Primary practice location

515 Shoshone Cir
Elko, NV 89801-5072

Mailing address

PO Box 426
Elko, NV 89803-0426
Phone (916) 712-7357

Other identifiers 1

IdentifierTypeStateIssuer
19097OtherNVSTATE LICENSURE

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

LicenseStateTypeSpecialty
13000504NMMDBasic Emergency Medical Technician
75598NVMDBasic Emergency Medical Technician
E3100640NVMDBasic Emergency Medical Technician
S021139AZMDPharmacist
RPH65893CAMDPharmacist
051.294981ILMDPharmacist
RP00007776NMMDPharmacist
19097NVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1295027902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898030426",
            "telephone_number": "916-712-7357",
            "fax_number": "866-305-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SHOSHONE CIR",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898015072",
            "telephone_number": "916-712-7357",
            "fax_number": "866-305-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "BENJAMIN",
        "credential": "RPH, BCPS, REHS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH65893",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NM",
            "license": "13000504",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NV",
            "license": "75598",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NV",
            "license": "E3100640",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00007776",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.294981",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S021139",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "19097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "19097",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.