Active NPI
Charles Lee
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Fresno, CA
National Provider Identifier
1033682471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 80053
- Practice address
- 7535 N Palm Ave Ste 101
Fresno, CA 93711-5504 - Phone
- (800) 797-3543
- NPI assigned
- Jan 8, 2019
- Last updated
- Jan 8, 2019
- Sex
- Male
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 80053 | CA | Primary |
Addresses
Primary practice location
7535 N Palm Ave Ste 101
Fresno, CA 93711-5504
Mailing address
7244 Sepulveda Blvd
Van Nuys, CA 91405-2005
Phone (818) 645-5938
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 |
|---|---|---|---|
| 80053 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1033682471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7244 SEPULVEDA BLVD",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052005",
"telephone_number": "818-645-5938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7535 N PALM AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937115504",
"telephone_number": "800-797-3543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHARLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-08",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "80053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.