Individual provider Active NPI

Tim Thien Le, PHARM. D.

  • Pharmacist
  • Carmichael, CA
National Provider Identifier
1659417897
Registry record updated Feb 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
52023 Issued in CA
Practice address
5830 Jameson CT
Carmichael, CA 95608-0896
Phone
(916) 220-3344
NPI assigned
Jan 29, 2007
Last updated
Feb 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 52023 CA Primary

Addresses

Primary practice location

5830 Jameson CT
Carmichael, CA 95608-0896

Mailing address

5830 Jameson CT
Carmichael, CA 95608-0896
Phone (916) 220-3344

Other practice location 1

2400 Glendale Ln Ste A
Sacramento, CA 95825-2431
Phone (916) 220-3344

Other names 1

  • Tinh Thien Le Former name

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
52023CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Innova Pharmacy of Arden-Arcade CurrentSince Feb 12, 2023 Accepting new patients
Innova Pharmaceuticals Inc CurrentSince Feb 9, 2020 Accepting new patients

Locations

5830 Jameson Ct
Carmichael, CA 95608
Phone (916) 220-3344

2400 Glendale Ln
Ste A
Sacramento, CA 95825
Phone (916) 220-3344

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580515200000",
    "number": "1659417897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 JAMESON CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080896",
            "telephone_number": "916-220-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 JAMESON CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080896",
            "telephone_number": "916-220-3344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Glendale Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958252431",
            "country_code": "US",
            "telephone_number": "916-220-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "TIM",
        "middle_name": "THIEN",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "52023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINH",
            "last_name": "LE",
            "middle_name": "THIEN",
            "credential": "PHARM. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2020; 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.