Active NPI
David M. Lee
- Pharmacist
- Gulf Shores, AL
National Provider Identifier
1114242559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14086
- Practice address
- 170 E Fort Morgan Rd
Gulf Shores, AL 36542-3510 - Phone
- (251) 968-5910
- Fax
- (251) 968-5912
- NPI assigned
- Mar 29, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 48690 | FL | |
| Pharmacist | 183500000X | E-06911 | MS | |
| Pharmacist | 183500000X | 14086 | AL | Primary |
Addresses
Primary practice location
170 E Fort Morgan Rd
Gulf Shores, AL 36542-3510
Mailing address
11643 Mockingbird LN
Fairhope, AL 36532-5112
Phone (251) 550-5472
Other practice location 1
1421 Gulf Shores Pkwy
Gulf Shores, AL 36542-5909
Phone (251) 968-5946
Other practice location 2
750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 279-1673
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14086 | AL | MD | Pharmacist |
| 48690 | FL | MD | Pharmacist |
| E-06911 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Gulf Shores, AL
- NPI 1558376822
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1114242559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11643 MOCKINGBIRD LN",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365325112",
"telephone_number": "251-550-5472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 E FORT MORGAN RD",
"city": "GULF SHORES",
"state": "AL",
"postal_code": "365423510",
"telephone_number": "251-968-5910",
"fax_number": "251-968-5912"
}
],
"practiceLocations": [
{
"address_1": "1421 Gulf Shores Pkwy",
"address_purpose": "LOCATION",
"city": "Gulf Shores",
"state": "AL",
"postal_code": "365425909",
"country_code": "US",
"telephone_number": "251-968-5946",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "750 Morphy Ave",
"address_purpose": "LOCATION",
"city": "Fairhope",
"state": "AL",
"postal_code": "365321812",
"country_code": "US",
"telephone_number": "251-279-1673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "DAVID",
"middle_name": "M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-29",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "48690",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-06911",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "14086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulf Shores, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.