Active NPI
Timothy A Lee, PHARMD
- Pharmacist
- Westerly, RI
National Provider Identifier
1104484047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH06059
- Practice address
- 170 Granite St
Westerly, RI 02891-2462 - Phone
- (401) 596-2734
- Fax
- (401) 596-8521
- NPI assigned
- Jun 5, 2019
- Sex
- Male
- 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 | RPH06059 | RI | Primary |
Addresses
Primary practice location
170 Granite St
Westerly, RI 02891-2462
Mailing address
170 Granite St
Westerly, RI 02891-2462
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH06059 | RI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1104484047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 GRANITE ST",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 GRANITE ST",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912462",
"telephone_number": "401-596-2734",
"fax_number": "401-596-8521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "TIMOTHY",
"middle_name": "A",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-05",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "RPH06059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westerly, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.