NPIMap

Individual provider Active NPI

Michelle Lee

  • Pharmacist
  • San Mateo, CA
National Provider Identifier
1194299800
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
79559 Issued in CA
Practice address
4242 S El Camino Real
San Mateo, CA 94403-5133
Phone
(650) 573-5401
NPI assigned
Jan 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 79559 CA Primary

Addresses

Primary practice location

4242 S El Camino Real
San Mateo, CA 94403-5133

Mailing address

987 E Hillsdale Blvd
Foster City, CA 94404-2112

Other practice location 1

135 Pierce St
Daly City, CA 94015-1934
Phone (650) 992-2521

Other practice location 2

1324 San Carlos Ave
San Carlos, CA 94070-2318
Phone (650) 591-7659

Other practice location 3

11 El Camino Real
San Carlos, CA 94070-2401
Phone (650) 595-8511

Other practice location 4

1039 El Camino Real
Redwood City, CA 94063-1690
Phone (650) 780-9910

Other practice location 5

124 De Anza Blvd
San Mateo, CA 94402-3987
Phone (650) 572-2514

Other practice location 6

872 N Delaware St
San Mateo, CA 94401-1504
Phone (650) 342-7448

Other practice location 7

1900 19th Ave
San Francisco, CA 94116-1250
Phone (415) 664-1834

Other practice location 8

1871 El Camino Real
Burlingame, CA 94010-3220
Phone (650) 692-5065

Other practice location 9

375 Gellert Blvd
Daly City, CA 94015-2613
Phone (650) 994-0752

Other practice location 10

10 Bayhill Shopping Ctr
San Bruno, CA 94066-2902
Phone (650) 873-9522

Other practice location 11

987 E Hillsdale Blvd
Foster City, CA 94404-2112
Phone (650) 570-4693

Other practice location 12

77 Bovet Rd
San Mateo, CA 94402-3104
Phone (650) 349-6303

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
79559CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Garfield Beach CVS, L.L.C. Past Accepting new patients
Longs Drug Store California LLC Past Accepting new patients
Garfield Beach CVS LLC Past Accepting new patients
Longs Drug Stores California LLC Past Accepting new patients
Longs Drug Stores California LLC Past Accepting new patients
Longs Drug Stores California LLC Past Accepting new patients
Longs Drug Stores California LLC Past Accepting new patients
Longs Drug Stores California LLC Past Accepting new patients
Longs Drug Stores California LLC Past Accepting new patients
Longs Drug Stores California LLC Past Accepting new patients

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1194299800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 E HILLSDALE BLVD",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944042112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 S EL CAMINO REAL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944035133",
            "telephone_number": "650-573-5401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Pierce St",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940151934",
            "country_code": "US",
            "telephone_number": "650-992-2521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1324 San Carlos Ave",
            "address_purpose": "LOCATION",
            "city": "San Carlos",
            "state": "CA",
            "postal_code": "940702318",
            "country_code": "US",
            "telephone_number": "650-591-7659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "San Carlos",
            "state": "CA",
            "postal_code": "940702401",
            "country_code": "US",
            "telephone_number": "650-595-8511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1039 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940631690",
            "country_code": "US",
            "telephone_number": "650-780-9910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 De Anza Blvd",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944023987",
            "country_code": "US",
            "telephone_number": "650-572-2514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "872 N Delaware St",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944011504",
            "country_code": "US",
            "telephone_number": "650-342-7448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 19th Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941161250",
            "country_code": "US",
            "telephone_number": "415-664-1834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1871 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940103220",
            "country_code": "US",
            "telephone_number": "650-692-5065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 Gellert Blvd",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940152613",
            "country_code": "US",
            "telephone_number": "650-994-0752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Bayhill Shopping Ctr",
            "address_purpose": "LOCATION",
            "city": "San Bruno",
            "state": "CA",
            "postal_code": "940662902",
            "country_code": "US",
            "telephone_number": "650-873-9522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "987 E Hillsdale Blvd",
            "address_purpose": "LOCATION",
            "city": "Foster City",
            "state": "CA",
            "postal_code": "944042112",
            "country_code": "US",
            "telephone_number": "650-570-4693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Bovet Rd",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944023104",
            "country_code": "US",
            "telephone_number": "650-349-6303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "79559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.