Active NPI
Audrey Le, RPH
- Pharmacist
- Deer Park, NY
National Provider Identifier
1871960260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 57251
- Practice address
- 1770 Deer Park Ave
Deer Park, NY 11729-5203 - Phone
- (631) 667-7023
- NPI assigned
- Sep 1, 2015
- Last updated
- Dec 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 065383 | NY | |
| Pharmacist | 183500000X | 57251 | TX | Primary |
Addresses
Primary practice location
1770 Deer Park Ave
Deer Park, NY 11729-5203
Mailing address
1770 Deer Park Ave
Deer Park, NY 11729-5203
Phone (631) 637-7023
Other practice location 1
26 Wicks Rd
Brentwood, NY 11717-3509
Phone (631) 637-3317
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065383 | NY | MD | Pharmacist |
| 57251 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
26 Wicks Rd
Brentwood, NY 11717
Phone (631) 637-3317
Organizations & group practices 3
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": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1871960260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 DEER PARK AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117295203",
"telephone_number": "631-637-7023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 DEER PARK AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117295203",
"telephone_number": "631-667-7023"
}
],
"practiceLocations": [
{
"address_1": "26 Wicks Rd",
"address_purpose": "LOCATION",
"city": "Brentwood",
"state": "NY",
"postal_code": "117173509",
"country_code": "US",
"telephone_number": "631-637-3317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "AUDREY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-01",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "065383",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "57251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.