Organization Active NPI

Luu Thi Le

  • Community/Retail Pharmacy
  • San Jose, CA
National Provider Identifier
1659393593
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY42012 Issued in CA
Legal business name
LUU THI LE
Doing business as
LE PHARMACY
Practice address
392 E Santa Clara St
San Jose, CA 95113-1911
Phone
(408) 297-2421
Fax
(408) 977-0460
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Paul Nguyen
Title
Manager
Phone
(510) 585-5989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY42012 CA Primary

Addresses

Primary practice location

392 E Santa Clara St
San Jose, CA 95113-1911

Mailing address

392 E Santa Clara St
San Jose, CA 95113-1911
Phone (408) 297-2421

Other identifiers 2

IdentifierTypeStateIssuer
PHA410330MedicaidCA
0524430OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • LE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

392 E Santa Clara St
San Jose, CA 95113
Phone (408) 297-2421

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1659393593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 E SANTA CLARA ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951131911",
            "telephone_number": "408-297-2421",
            "fax_number": "408-977-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 E SANTA CLARA ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951131911",
            "telephone_number": "408-297-2421",
            "fax_number": "408-977-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUU THI LE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "510-585-5989"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY42012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA410330",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0524430",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.