NPIMap

Individual provider Active NPI

David M. Lee

  • Pharmacist
  • Gulf Shores, AL
National Provider Identifier
1114242559
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14086 Issued in AL
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
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 279-1673

Other practice location 2

1421 Gulf Shores Pkwy
Gulf Shores, AL 36542-5909
Phone (251) 968-5946

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

LicenseStateTypeSpecialty
14086ALMDPharmacist
48690FLMDPharmacist
E-06911MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "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"
        },
        {
            "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"
        }
    ],
    "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.

Verify at the official NPI Registry.