Individual provider Active NPI

Wayne Nguyen Le, R.PH

  • Pharmacist
  • Glendora, CA
National Provider Identifier
1861896920
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
64917 Issued in CA
Practice address
1301 S Lone Hill Ave
Glendora, CA 91740-5348
Phone
(909) 394-7978
Fax
(909) 394-7957
NPI assigned
Oct 20, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 64917 CA Primary

Addresses

Primary practice location

1301 S Lone Hill Ave
Glendora, CA 91740-5348

Mailing address

1301 S Lone Hill Ave
Glendora, CA 91740-5348
Phone (909) 394-7978

Other names 1

  • Nguyen D Le Former 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
Credentials
Registered Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1861896920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S LONE HILL AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405348",
            "telephone_number": "909-394-7978",
            "fax_number": "909-394-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S LONE HILL AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405348",
            "telephone_number": "909-394-7978",
            "fax_number": "909-394-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "WAYNE NGUYEN",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "64917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NGUYEN",
            "last_name": "LE",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.