Active NPI
Tiffany Thao Le, PHARMD
- Pharmacist
- Garden Grove, CA
National Provider Identifier
1962779165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 57696
- Practice address
- 11950 Valley View St
Garden Grove, CA 92845-1239 - Phone
- (714) 893-4196
- NPI assigned
- Nov 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 57696 | CA | Primary |
Addresses
Primary practice location
11950 Valley View St
Garden Grove, CA 92845-1239
Mailing address
306 Sara Jane LN
Placentia, CA 92870-5135
Phone (714) 524-3560
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57696 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1962779165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 SARA JANE LN",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928705135",
"telephone_number": "714-524-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11950 VALLEY VIEW ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928451239",
"telephone_number": "714-893-4196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "TIFFANY",
"middle_name": "THAO",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-17",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "57696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.