Individual provider Active NPI

My-Ly Le

  • Pharmacist
  • Pearland, TX
National Provider Identifier
1689398562
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
61415 Issued in TX
Practice address
2900 Broadway St
Pearland, TX 77581-4507
Phone
(281) 997-4400
Fax
(281) 997-4406
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 61415 TX Primary

Addresses

Primary practice location

2900 Broadway St
Pearland, TX 77581-4507

Mailing address

2900 Broadway St
Pearland, TX 77581-4507
Phone (281) 997-4400

Other identifiers 1

IdentifierTypeStateIssuer
61415OtherTXTEXAS STATE BOARD OF PHARMASCY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cvs

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

LicenseStateTypeSpecialty
61415TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1689398562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814507",
            "telephone_number": "281-997-4400",
            "fax_number": "281-997-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814507",
            "telephone_number": "281-997-4400",
            "fax_number": "281-997-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "MY-LY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "61415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMASCY",
            "identifier": "61415",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cvs",
            "affiliation": "N",
            "endpointDescription": "cvs epic",
            "address_1": "2900 Broadway St",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775814507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.