Gabriel S Lee

Primary specialty

PharmacistTaxonomy code 183500000X

License

053778 Issued in NY

Practice address

4059 College Point Blvd
Flushing, NY 11354-5108

Phone

(718) 888-9338

Fax

(718) 888-9299

NPI assigned

Mar 7, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Equal Care III LLC

  • Community/Retail Pharmacy
  • Flushing, NY
  • NPI 1548587173
  NPD Authorized official

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

{
    "created_epoch": "1267920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1003139940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4059 COLLEGE POINT BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4059 COLLEGE POINT BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545108",
            "telephone_number": "718-888-9338",
            "fax_number": "718-888-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GABRIEL",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-07",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "053778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03209161",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eun Jung Lee, RPT
• Euna Lee, M.D.
• Eunmyung Lee, NP
• Frank B Lee, PHYSICIAN ASSISTANT
• Franklin Lee, M.D.
• Gyuchang Lee
• Han Shik Lee, M.D.
• Henry K Lee, PHARMD
• Holly Lee, F.N.P.
• Hong Je Lee, M.D.

• Pharmacist in Flushing, NY
• Providers in Flushing, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.