Active NPI
Tiffany Phuong Uyen Le, RPH
- Pharmacist
- Anaheim, CA
National Provider Identifier
1881286342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83766
- Practice address
- 611 S Brookhurst St
Anaheim, CA 92804-3580 - Phone
- (714) 778-3123
- NPI assigned
- Feb 5, 2021
- Last updated
- Feb 5, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 83766 | CA | Primary |
Addresses
Primary practice location
611 S Brookhurst St
Anaheim, CA 92804-3580
Mailing address
20507 Sartell Dr
Walnut, CA 91789-3549
Phone (909) 979-0575
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 |
|---|---|---|---|
| 83766 | CA | MD | Recreation Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | 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": "1612483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1881286342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20507 SARTELL DR",
"city": "WALNUT",
"state": "CA",
"postal_code": "917893549",
"telephone_number": "909-979-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 S BROOKHURST ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043580",
"telephone_number": "714-778-3123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "TIFFANY",
"middle_name": "PHUONG UYEN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-05",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.