Active NPI
David Donghyun Lee, PHARMD
- Pharmacist
- East Wenatchee, WA
National Provider Identifier
1003426438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61075011
- Practice address
- 470 Grant Rd
East Wenatchee, WA 98802-5336 - Phone
- (509) 886-7047
- NPI assigned
- Jul 31, 2020
- Last updated
- Nov 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IR60698080 | WA | |
| Pharmacist | 183500000X | PH61075011 | WA | Primary |
Addresses
Primary practice location
470 Grant Rd
East Wenatchee, WA 98802-5336
Mailing address
23206 7TH Dr SE
Bothell, WA 98021-9396
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 |
|---|---|---|---|
| PH61075011 | WA | MD | Pharmacist |
| IR60698080 | WA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
470 Grant Rd
East Wenatchee, WA 98802
Phone (509) 886-7047
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1003426438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23206 7TH DR SE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980219396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 GRANT RD",
"city": "EAST WENATCHEE",
"state": "WA",
"postal_code": "988025336",
"telephone_number": "509-886-7047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DAVID",
"middle_name": "DONGHYUN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-31",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "IR60698080",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61075011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.