Individual provider Active NPI

Mark Stephen Le Roy, PHARM D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Quincy, CA
National Provider Identifier
1730481235
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PH234333 Issued in MA
Practice address
2270 Clear Creek Rd
Quincy, CA 95971-9734
Phone
(707) 888-0267
NPI assigned
Dec 3, 2010
Last updated
Sep 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 042231 CA
Pharmacist 183500000X RP47316 PA
Pharmacist 183500000X 17716 MD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH234333 MA Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH026556 GA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 015918 KY

Addresses

Primary practice location

2270 Clear Creek Rd
Quincy, CA 95971-9734

Mailing address

2270 Clear Creek Rd
Quincy, CA 95971-9734
Phone (707) 888-0267

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
042231CAMDPharmacist
17716MDMDPharmacist
RP47316PAMDPharmacist
RPH026556GAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
015918KYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH234333MAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1730481235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 CLEAR CREEK RD",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719734",
            "telephone_number": "707-888-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 CLEAR CREEK RD",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719734",
            "telephone_number": "707-888-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE ROY",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-03",
        "last_updated": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "042231",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP47316",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "17716",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MA",
            "license": "PH234333",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH026556",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KY",
            "license": "015918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; 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.