Active NPI
Pauline Lee, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Vacaville, CA
National Provider Identifier
1114221306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH 042449
- Practice address
- 1051 Hume Way
Vacaville, CA 95687-5558 - Phone
- (707) 453-7342
- Fax
- (707) 453-7363
- NPI assigned
- Jan 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH 042449 | CA | Primary |
| Pharmacist | 183500000X | RPH 042449 | CA |
Addresses
Primary practice location
1051 Hume Way
Vacaville, CA 95687-5558
Mailing address
1051 Hume Way
Vacaville, CA 95687-5558
Phone (707) 453-7342
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 |
|---|---|---|---|
| RPH 042449 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481760000000",
"number": "1114221306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 HUME WAY",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956875558",
"telephone_number": "707-453-7342",
"fax_number": "707-453-7363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 HUME WAY",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956875558",
"telephone_number": "707-453-7342",
"fax_number": "707-453-7363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "PAULINE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-01",
"last_updated": "2016-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "RPH 042449",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 042449",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.