Active NPI
Sangwoo Lee
- Pharmacist
- North Reading, MA
National Provider Identifier
1083999528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH24967
- Practice address
- 158 Main St
North Reading, MA 01864-3116 - Phone
- (978) 276-1380
- Fax
- (978) 276-1386
- NPI assigned
- Oct 17, 2011
- Last updated
- Oct 17, 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 | PH24967 | MA | Primary |
Addresses
Primary practice location
158 Main St
North Reading, MA 01864-3116
Mailing address
158 Main St
North Reading, MA 01864
Phone (978) 276-1380
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 |
|---|---|---|---|
| PH24967 | MA | 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": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1083999528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 MAIN ST",
"city": "NORTH READING",
"state": "MA",
"postal_code": "01864",
"telephone_number": "978-276-1380",
"fax_number": "978-276-1386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 MAIN ST",
"city": "NORTH READING",
"state": "MA",
"postal_code": "018643116",
"telephone_number": "978-276-1380",
"fax_number": "978-276-1386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SANGWOO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH24967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Reading, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.