Anthony Minh Le

Individual provider Active NPI Pharmacist · Shafter, CA

NPI 1922566264 · NPPES record last updated Mar 6, 2019

Key facts

NPI
1922566264
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
80138 (CA)
Practice address
150 E Lerdo Hwy
Shafter, CA 93263-2702
Phone
(661) 746-4991
NPI assigned
Mar 6, 2019
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
80138CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 80138 CA Yes

Addresses

Primary practice location

150 E Lerdo Hwy
Shafter, CA 93263-2702

Mailing address

150 E Lerdo Hwy
Shafter, CA 93263-2702
Phone (661) 746-4991

Other providers in Shafter, CA

All providers in Shafter, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.