Active NPI
Alan Lee, RPH.
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1104343508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 063039
- Practice address
- 4507 8TH Ave
Brooklyn, NY 11220-1515 - Phone
- (718) 633-8388
- NPI assigned
- Aug 25, 2017
- 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 | 183500000X | 063039 | NY | Primary |
Addresses
Primary practice location
4507 8TH Ave
Brooklyn, NY 11220-1515
Mailing address
4001 8TH Ave
Brooklyn
Brooklyn, NY 11232
Phone (347) 790-4571
Other practice location 1
4001 8th Ave
Brooklyn, NY 11232
Phone (718) 363-3400
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063039 | NY | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A-Class Pharmacy Corp. | Current | Accepting new patients | |
| Top Kare Pharmacy Inc. | Current | Accepting new patients | |
| A-Class Pharmacy Corp. | Current | Accepting new patients | |
| Family First Pharmacy Surgical Supplies Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Long Term Care Pharmacy
- New York, NY
- NPI 1285507491
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1902201973
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1851829527
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1285899831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1104343508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 8TH AVE",
"address_2": "BROOKLYN",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11232",
"telephone_number": "347-790-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4507 8TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112201515",
"telephone_number": "718-633-8388"
}
],
"practiceLocations": [
{
"address_1": "4001 8th Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11232",
"country_code": "US",
"telephone_number": "718-363-3400",
"fax_number": "718-363-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "ALAN",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.