Kyu Yon Lee

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY416674 Issued in CA

Legal business name

KYU YON LEE

Doing business as

Almond Avenue Pharmacy

Practice address

510 E Almond Ave
Madera, CA 93637-5611

Phone

(559) 673-9222

Fax

(559) 673-1911

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Kyu Lee

Title

Owner

Phone

(559) 673-9222

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ALMOND AVENUE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1235274861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375611",
            "telephone_number": "559-673-9222",
            "fax_number": "559-673-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375611",
            "telephone_number": "559-673-9222",
            "fax_number": "559-673-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYU YON LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KYU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-673-9222"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY416674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0527323",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALMOND AVENUE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Jean Kurushima, OTR/L
• Brenik Kuzmic, PHARM.D.
• Jacob Kwiecinski
• Ji Yeon Kwon, NP
• Shannel Kwon
• L.H. Althuijzen LLC. (Senior Helpers)
• Michelle Monette Ladwig, PA
• Russel Grover Ladwig, PAC
• Lags Spine and Sportscare Medical Centers, Inc.
• Krista Lynn Shement Lai

• Community/Retail Pharmacy in Madera, CA
• Providers in Madera, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.