Active NPI
Jeffrey Thuan Le Lien
- Pharmacist
- Mill Valley, CA
National Provider Identifier
1841959905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85301
- Practice address
- 227 Shoreline Hwy
Mill Valley, CA 94941-3678 - Phone
- (415) 380-8402
- NPI assigned
- Dec 15, 2021
- Last updated
- Dec 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 85301 | CA | Primary |
Addresses
Primary practice location
227 Shoreline Hwy
Mill Valley, CA 94941-3678
Mailing address
230 Morningside Dr
San Francisco, CA 94132-1241
Phone (415) 519-4811
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
| License | State | Type | Specialty |
|---|---|---|---|
| 85301 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1639526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1841959905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 MORNINGSIDE DR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941321241",
"telephone_number": "415-519-4811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 SHORELINE HWY",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949413678",
"telephone_number": "415-380-8402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEN",
"first_name": "JEFFREY",
"middle_name": "THUAN LE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-15",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.