Geoffrey Alan Lee

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26013824A Issued in IN

Practice address

906 Main St
Rochester, IN 46975-1740

Phone

(574) 223-3249

Fax

(574) 223-4017

NPI assigned

Jun 16, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Rochester, IN
  • NPI 1669487781

  Community/Retail Pharmacy

  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545

  Community/Retail Pharmacy

  NPD (past)

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1235755166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 N COUNTY ROAD 275 E",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469478069",
            "telephone_number": "574-398-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 MAIN ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469751740",
            "telephone_number": "574-223-3249",
            "fax_number": "574-223-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GEOFFREY",
        "middle_name": "ALAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "26013824A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rxm@store.walgreens.com",
            "affiliation": "N",
            "address_1": "906 Main St",
            "city": "Rochester",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469751740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Kurzeja
• Michael Laszynski, DDS
• Jennifer Lauro
• Addison Lawson, PHARMD
• Cynthia A Laycock, O. D.
• Angela Marie Lowe, BA
• Merlyn Malola, MD
• Manitou Home Medical
• Abigail Marie McCarter, DDS
• Tanya Kaye McKee

• All providers in Rochester, IN
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.