Active NPI
Minna Lee
- Pharmacist
- Sacramento, CA
National Provider Identifier
1134610702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78237
- Practice address
- 2200 River Plaza Dr
Sacramento, CA 95833-4134 - Phone
- (669) 249-8653
- NPI assigned
- May 19, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0022207 | CO | |
| Pharmacist | 183500000X | 063524 | NY | |
| Pharmacist | 183500000X | 78237 | CA | Primary |
Addresses
Primary practice location
2200 River Plaza Dr
Sacramento, CA 95833-4134
Mailing address
2200 River Plaza Dr
Sacramento, CA 95833-4134
Other practice location 1
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-4005
Other practice location 2
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-4005
Other practice location 3
535 Oakmead Pkwy
Sunnyvale, CA 94085
Phone (669) 249-8653
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 |
|---|---|---|---|
| 78237 | CA | MD | Pharmacist |
| 0022207 | CO | MD | Pharmacist |
| 063524 | NY | MD | Pharmacist |
Interoperability endpoints
- mlee458190@hisp.ehr.sutterhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1134610702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 RIVER PLAZA DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958334134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 RIVER PLAZA DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958334134",
"telephone_number": "669-249-8653"
}
],
"practiceLocations": [
{
"address_1": "300 Community Dr",
"address_purpose": "LOCATION",
"city": "Manhasset",
"state": "NY",
"postal_code": "110303816",
"country_code": "US",
"telephone_number": "516-562-4005",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Community Dr",
"address_purpose": "LOCATION",
"city": "Manhasset",
"state": "NY",
"postal_code": "110303816",
"country_code": "US",
"telephone_number": "516-562-4005",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "535 Oakmead Pkwy",
"address_purpose": "LOCATION",
"city": "Sunnyvale",
"state": "CA",
"postal_code": "94085",
"country_code": "US",
"telephone_number": "669-249-8653",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "MINNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-19",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0022207",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063524",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.