Active NPI
Thuymien Thanh Le
- Pharmacist
- Fremont, CA
National Provider Identifier
1912568064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58712
- Practice address
- 40055 Mission Blvd
Fremont, CA 94539-3680 - Phone
- (510) 657-5280
- NPI assigned
- Jun 27, 2019
- 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 | 58712 | CA | Primary |
Addresses
Primary practice location
40055 Mission Blvd
Fremont, CA 94539-3680
Mailing address
40055 Mission Blvd
Fremont, CA 94539-3680
Phone (510) 657-5280
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 |
|---|---|---|---|
| 58712 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodlife RX LLC | Current | Accepting new patients | |
| Goodlife RX LLC | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1912568064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40055 MISSION BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945393680",
"telephone_number": "510-657-5280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40055 MISSION BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945393680",
"telephone_number": "510-657-5280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "THUYMIEN",
"middle_name": "THANH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-27",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "58712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.