Nolan Le Pharmd, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NOLAN LE PHARMD, INC

Practice address

4425 47TH St
San Diego, CA 92115-4516

Phone

(858) 208-3688

Fax

(858) 201-3835

NPI assigned

Jun 20, 2023

Organization subpart

No

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

Authorized official

Name

Nolan Le, PHARM.D.NPI 1932536893

Title

President/Ceo

Phone

(858) 610-7501

Specialties & licenses 1

Addresses

Other names 1

• Datson Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nolan Dean Le, PHARM. D

  • Pharmacist
  • San Diego, CA
  • NPI 1932536893
  NPD Authorized official

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1780369538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 47TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154516",
            "telephone_number": "858-208-3688",
            "fax_number": "858-201-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 47TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154516",
            "telephone_number": "858-208-3688",
            "fax_number": "858-201-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLAN LE PHARMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "NOLAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "858-610-7501",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Datson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Datson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Estar Sieun Noh, PHN, BSN, RN
• Han Kyol Noh, RN
• Jung-Ho Noh
• Seung Jin Noh, NP (PMHNP)
• Ryan Douglas Nokes, ATC, CSCS
• Bridget Nolan
• Carolyn Nolan, MFT
• Elizabeth Nolan
• Jennifer Dawn Nolan, RD
• Rachel Nolan, M.S., CCC-SLP

• Community/Retail Pharmacy in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.