Active NPI
Xuanlam Hoang Le, PHARMACIST
- Pharmacist
- Fresno, CA
National Provider Identifier
1306313424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79771
- Practice address
- 5125 E Kings Canyon Rd
Fresno, CA 93727-3937 - Phone
- (559) 252-9457
- NPI assigned
- Oct 26, 2018
- Last updated
- Oct 26, 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 | 79771 | CA | Primary |
Addresses
Primary practice location
5125 E Kings Canyon Rd
Fresno, CA 93727-3937
Mailing address
9431 Bevan Ave
Westminster, CA 92683-6511
Phone (714) 889-0877
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79771 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540512000000",
"number": "1306313424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9431 BEVAN AVE",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836511",
"telephone_number": "714-889-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 E KINGS CANYON RD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937273937",
"telephone_number": "559-252-9457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "XUANLAM",
"middle_name": "HOANG",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-26",
"last_updated": "2018-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.