Active NPI
Angel Lee
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1013697663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S025951
- Practice address
- 1111 E McDowell Rd
Phoenix, AZ 85006-2612 - Phone
- (602) 839-2300
- Fax
- (602) 839-4226
- NPI assigned
- Jul 19, 2023
- 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 | S025951 | AZ | Primary |
Addresses
Primary practice location
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Mailing address
4204 E Dwayne St
Gilbert, AZ 85295-0232
Phone (480) 646-0756
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 |
|---|---|---|---|
| S025951 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1013697663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4204 E DWAYNE ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852950232",
"telephone_number": "480-646-0756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 E MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062612",
"telephone_number": "602-839-2300",
"fax_number": "602-839-4226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ANGEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S025951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.