Organization Active NPI

Le Pharmacy Corporation

  • Community/Retail Pharmacy
  • Huntington Beach, CA
National Provider Identifier
1962472308
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LE PHARMACY CORPORATION
Practice address
19582 Beach Blvd
Suite 118
Huntington Beach, CA 92648-2996
Phone
(714) 965-5203
Fax
(714) 965-5257
NPI assigned
Jan 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Mrs. Marcie Ngoc Hong Le, PHARM D
Title
President/Ceo/Secretary/Director
Phone
(714) 965-5203

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

19582 Beach Blvd
Suite 118
Huntington Beach, CA 92648-2996

Mailing address

19582 Beach Blvd
Suite 118
Huntington Beach, CA 92648-2996
Phone (714) 965-5203

Other identifiers 1

IdentifierTypeStateIssuer
PHY58233OtherCABOARD OF PHARMACY

Other names 1

  • COASTAL CARE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211027003058 CA Part B Supplier - Mass Immunization (Roster Biller Only) 3173911963 Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Locations

19582 Beach Blvd
Ste 118
Huntington Beach, CA 92648
Phone (714) 963-1030

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1962472308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19582 BEACH BLVD",
            "address_2": "SUITE 118",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482996",
            "telephone_number": "714-965-5203",
            "fax_number": "714-965-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19582 BEACH BLVD",
            "address_2": "SUITE 118",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482996",
            "telephone_number": "714-965-5203",
            "fax_number": "714-965-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "MARCIE NGOC",
        "authorized_official_middle_name": "HONG",
        "authorized_official_title_or_position": "PRESIDENT/CEO/SECRETARY/DIRECTOR",
        "authorized_official_telephone_number": "714-965-5203",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY58233",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COASTAL CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.