Individual provider Active NPI

Leslie Tieu, PHARMD

  • Pharmacist
  • Rosemead, CA
National Provider Identifier
1407221609
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
65502 Issued in CA
Practice address
2630 San Gabriel Blvd
Suite 106
Rosemead, CA 91770-5204
Phone
(626) 572-8255
Fax
(626) 572-8252
NPI assigned
Dec 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 65502 CA Primary

Addresses

Primary practice location

2630 San Gabriel Blvd
Suite 106
Rosemead, CA 91770-5204

Mailing address

2630 San Gabriel Blvd
Suite 106
Rosemead, CA 91770-5204
Phone (626) 572-8255

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

LicenseStateTypeSpecialty
65502CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
D & L Pharmacy Inc Current Accepting new patients

Locations

2630 San Gabriel Blvd
Ste 106
Rosemead, CA 91770
Phone (626) 571-7455

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1407221609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 SAN GABRIEL BLVD",
            "address_2": "SUITE 106",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917705204",
            "telephone_number": "626-572-8255",
            "fax_number": "626-572-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 SAN GABRIEL BLVD",
            "address_2": "SUITE 106",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917705204",
            "telephone_number": "626-572-8255",
            "fax_number": "626-572-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEU",
        "first_name": "LESLIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "65502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.