Individual provider Active NPI

Tar Lee

  • Pharmacist
  • Cornelia, GA
National Provider Identifier
1255924312
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH030774 Issued in GA
Practice address
189 Quality Foods Shopping Ctr
Cornelia, GA 30531-5788
Phone
(706) 778-9523
NPI assigned
Feb 18, 2021
Last updated
Dec 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH030774 GA Primary

Addresses

Primary practice location

189 Quality Foods Shopping Ctr
Cornelia, GA 30531-5788

Mailing address

189 Quality Foods Shopping Ctr
Cornelia, GA 30531-5788
Phone (706) 778-9523

Other practice location 1

472 S Enota Dr NE
Gainesville, GA 30501-2548
Phone (770) 535-3750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RXM.19973@store.walgreens.com

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
RPH030774GAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: rxm.19973@store.walgreens.com

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1255924312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 QUALITY FOODS SHOPPING CTR",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305315788",
            "telephone_number": "706-778-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 QUALITY FOODS SHOPPING CTR",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305315788",
            "telephone_number": "706-778-9523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "472 S Enota Dr NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305012548",
            "country_code": "US",
            "telephone_number": "770-535-3750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "TAR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH030774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RXM.19973@store.walgreens.com",
            "affiliation": "N",
            "address_1": "189 Quality Foods Shopping Ctr",
            "city": "Cornelia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305315788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cornelia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.