Active NPI
Hyun Jae Lee
- Pharmacist
- Arlington, VA
National Provider Identifier
1245017664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202220072
- Practice address
- 2400 Richmond Hwy
Arlington, VA 22202-3901 - Phone
- (418) 081-3703
- NPI assigned
- Sep 11, 2023
- Last updated
- Sep 11, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202220072 | VA | Primary |
Addresses
Primary practice location
2400 Richmond Hwy
Arlington, VA 22202-3901
Mailing address
2400 Richmond Hwy
Arlington, VA 22202-3901
Phone (418) 081-3703
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 |
|---|---|---|---|
| 0202220072 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia CVS Pharmacy, L.L.C. | Current | Accepting new patients | |
| Virginia CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Locations
2400 S Eads St
Arlington, VA 22202
Phone (703) 299-8222
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1245017664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 RICHMOND HWY",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222023901",
"telephone_number": "418-081-3703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 RICHMOND HWY",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222023901",
"telephone_number": "418-081-3703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "HYUN JAE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202220072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.