Individual provider Active NPI

Thao Anh Thi La

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • West Memphis, AR
National Provider Identifier
1851270276
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PD17470 Issued in AR
Practice address
300 S Service Rd
West Memphis, AR 72301-1726
Phone
(870) 732-0283
NPI assigned
Aug 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 49027 TN
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PD17470 AR Primary

Addresses

Primary practice location

300 S Service Rd
West Memphis, AR 72301-1726

Mailing address

80 N Mendenhall Rd
Memphis, TN 38117-2631
Phone (901) 218-5255

Other practice location 1

1162 W Poplar Ave
Collierville, TN 38017-3196
Phone (901) 861-3000

Other names 1

  • Thaoanh Thi La Other 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

State licenses

LicenseStateTypeSpecialty
PD17470ARMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Limited Partnership I CurrentSince Sep 3, 2025 Accepting new patients
Kroger Limited Partnership I PastSince Sep 3, 2025 Accepting new patients

Locations

300 S Service Rd
West Memphis, AR 72301
Phone (870) 732-0283

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1851270276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 N MENDENHALL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381172631",
            "telephone_number": "901-218-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S SERVICE RD",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723011726",
            "telephone_number": "870-732-0283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1162 W Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380173196",
            "country_code": "US",
            "telephone_number": "901-861-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LA",
        "first_name": "THAO ANH",
        "middle_name": "THI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TN",
            "license": "49027",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AR",
            "license": "PD17470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THAOANH",
            "last_name": "LA",
            "middle_name": "THI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.