Individual provider Active NPI

Pao Lee, PHARMD

  • Pediatric Pharmacist
  • Madera, CA
National Provider Identifier
1215559588
Registry record updated May 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric PharmacistTaxonomy code 1835P0200X
License
80864 Issued in CA
Practice address
9300 Valley Childrens PL
Madera, CA 93636-8761
Phone
(559) 353-5533
NPI assigned
May 10, 2020
Last updated
May 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pharmacist 1835P0200X 80864 CA Primary

Addresses

Primary practice location

9300 Valley Childrens PL
Madera, CA 93636-8761

Mailing address

2821 E Spruce Ave Apt 163
Fresno, CA 93720-0383

Other names 1

  • Dr. Carol Lee Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address plee8@valleychildrens.org

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

LicenseStateTypeSpecialty
80864CAMDPediatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1589068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589068800000",
    "number": "1215559588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 E SPRUCE AVE APT 163",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PAO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-10",
        "last_updated": "2020-05-10",
        "certification_date": "2020-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pediatrics",
            "state": "CA",
            "license": "80864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "plee8@valleychildrens.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "9300 Valley Childrens Pl",
            "city": "Madera",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936368761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "LEE",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.