Active NPI
Younggyeung Lee, PHARMACIST
- Pharmacist
- Royal Oak, MI
National Provider Identifier
1043593130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302033839
- Practice address
- 1815 Rochester Rd
Royal Oak, MI 48073-4136 - Phone
- (248) 546-6572
- NPI assigned
- Sep 24, 2011
- Last updated
- Sep 24, 2011
- 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 | 5302033839 | MI | Primary |
Addresses
Primary practice location
1815 Rochester Rd
Royal Oak, MI 48073-4136
Mailing address
1815 Rochester Rd
Royal Oak, MI 48073-4136
Phone (248) 546-6572
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 |
|---|---|---|---|
| 5302033839 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1316822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316822400000",
"number": "1043593130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 ROCHESTER RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480734136",
"telephone_number": "248-546-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 ROCHESTER RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480734136",
"telephone_number": "248-546-6572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "YOUNGGYEUNG",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-24",
"last_updated": "2011-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302033839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.