Individual provider Active NPI

Alan Lee, RPH.

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1104343508
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
063039 Issued in NY
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
063039NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.