Active NPI
Mai Ngoc Le
- Pharmacist
- Folsom, CA
National Provider Identifier
1568977155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77925
- Practice address
- 180 S Lexington Dr Apt 1021
Folsom, CA 95630-7016 - Phone
- (802) 309-4955
- NPI assigned
- Dec 5, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 77925 | CA | Primary |
Addresses
Primary practice location
180 S Lexington Dr Apt 1021
Folsom, CA 95630-7016
Mailing address
180 S Lexington Dr Apt 1021
Folsom, CA 95630-7016
Phone (802) 309-4955
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 |
|---|---|---|---|
| 77925 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516406400000",
"number": "1568977155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 S LEXINGTON DR APT 1021",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956307016",
"telephone_number": "802-309-4955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 S LEXINGTON DR APT 1021",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956307016",
"telephone_number": "802-309-4955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "MAI",
"middle_name": "NGOC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2018-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.