Active NPI
Quinn Le
- Pharmacist
- Randolph, MA
National Provider Identifier
1598535221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH997103
- Practice address
- 171 N Main St
Randolph, MA 02368-4630 - Phone
- (781) 963-3906
- NPI assigned
- Jan 3, 2024
- 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 | PH997103 | MA | Primary |
Addresses
Primary practice location
171 N Main St
Randolph, MA 02368-4630
Mailing address
25 Plaza Way # 3219
Plymouth, MA 02360-7926
Phone (818) 401-5713
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 |
|---|---|---|---|
| PH997103 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1598535221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 PLAZA WAY # 3219",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023607926",
"telephone_number": "818-401-5713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 N MAIN ST",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684630",
"telephone_number": "781-963-3906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "QUINN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-03",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH997103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.