Active NPI
Thao Trang Thi Le, PHARMD.
- Pharmacist
- Walla Walla, WA
National Provider Identifier
1982249389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60959915
- Practice address
- 633 W Tietan St
Walla Walla, WA 99362-4329 - Phone
- (509) 529-1570
- NPI assigned
- Nov 10, 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 | PH60959915 | WA | Primary |
Addresses
Primary practice location
633 W Tietan St
Walla Walla, WA 99362-4329
Mailing address
35842 1St PL SW
Federal Way, WA 98023-7896
Phone (253) 394-6381
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 |
|---|---|---|---|
| PH60959915 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
633 W Tietan St
Walla Walla, WA 99362
Phone (509) 240-8103
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.
-
- Pharmacy
- Walla Walla, WA
- NPI 1407949068
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573344000000",
"number": "1982249389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35842 1ST PL SW",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980237896",
"telephone_number": "253-394-6381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 W TIETAN ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624329",
"telephone_number": "509-529-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "THAO",
"middle_name": "TRANG THI",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-10",
"last_updated": "2019-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60959915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.