Active NPI
Yeun Joo Lee
- Pharmacist
- Chowchilla, CA
National Provider Identifier
1093066177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68575
- Practice address
- 48 Robertson Blvd
Rite Aid
Chowchilla, CA 93610-2928 - Phone
- (559) 665-1096
- NPI assigned
- Sep 28, 2012
- 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 | 68575 | CA | Primary |
Addresses
Primary practice location
48 Robertson Blvd
Rite Aid
Chowchilla, CA 93610-2928
Mailing address
48 Robertson Blvd
Rite Aid
Chowchilla, CA 93610-2928
Phone (559) 665-1096
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68575 | Other | CA | PHARMACIST |
Other names 1
- Jenny Lee
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 |
|---|---|---|---|
| 68575 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Chowchilla, CA
- NPI 1003925439
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402876800000",
"number": "1093066177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 ROBERTSON BLVD",
"address_2": "RITE AID",
"city": "CHOWCHILLA",
"state": "CA",
"postal_code": "936102928",
"telephone_number": "559-665-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 ROBERTSON BLVD",
"address_2": "RITE AID",
"city": "CHOWCHILLA",
"state": "CA",
"postal_code": "936102928",
"telephone_number": "559-665-1096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "YEUN JOO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-28",
"last_updated": "2014-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "68575",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "68575",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNY",
"last_name": "LEE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Chowchilla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.