Active NPI
My T Le
- Pharmacist
- Hesperia, CA
National Provider Identifier
1982103867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78231
- Practice address
- 15510 Main St
Hesperia, CA 92345-3427 - Phone
- (978) 948-1472
- NPI assigned
- Feb 6, 2018
- 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 | 78231 | CA | Primary |
Addresses
Primary practice location
15510 Main St
Hesperia, CA 92345-3427
Mailing address
150 Weathervane
Irvine, CA 92603-4226
Phone (978) 335-4780
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 |
|---|---|---|---|
| 78231 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517875200000",
"number": "1982103867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 WEATHERVANE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926034226",
"telephone_number": "978-335-4780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15510 MAIN ST",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923453427",
"telephone_number": "978-948-1472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "MY",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-06",
"last_updated": "2018-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hesperia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.