Organization Active NPI

Sang J Lee

  • Pharmacy
  • Los Angeles, CA
National Provider Identifier
1093841041
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY21567 Issued in CA
Legal business name
SANG J LEE
Doing business as
LEES DISCOUNT DRUG
Practice address
2732 W Olympic Blvd
Los Angeles, CA 90006-2633
Phone
(213) 382-6391
Fax
(213) 387-7475
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Sang Ju Lee, RPHNPI 1700927605
Title
Owner
Phone
(213) 382-6391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY21567 CA Primary

Addresses

Primary practice location

2732 W Olympic Blvd
Los Angeles, CA 90006-2633

Mailing address

2732 W Olympic Blvd
Los Angeles, CA 90006-2633
Phone (213) 382-6391

Other identifiers 1

IdentifierTypeStateIssuer
PHA215670MedicaidCA

Other names 1

  • LEES DISCOUNT DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930002875 CA DME Supplier - Pharmacy 6204957855 Practice locations: Los Angeles, CA
O20130523000129 CA Part B Supplier - Mass Immunization (Roster Biller Only) 6204957855 Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Lee'S Discount Drug2732 W Olympic Blvd, Los Angeles, CA 90006-2633(213) 382-6391 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Apr 3, 2013

National Provider Directory

National Provider Directory

Locations

2732 W Olympic Blvd
Los Angeles, CA 90006
Phone (213) 382-6391

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1093841041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062633",
            "telephone_number": "213-382-6391",
            "fax_number": "213-387-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062633",
            "telephone_number": "213-382-6391",
            "fax_number": "213-387-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANG J LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "JU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-382-6391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY21567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA215670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEES DISCOUNT DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.