John Yuen Lee, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0018460 Issued in OR

Practice address

4560 SE International Way Ste 101
Portland, OR 97222-4628

Phone

(877) 311-1499

NPI assigned

Dec 12, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Genoa Healthcare LLC

  • Long Term Care Pharmacy
  • Brockton, MA
  • NPI 1992521512
  NPD (past)

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

{
    "created_epoch": "1607731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1265028450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8670 SW LODI LN",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972245217",
            "telephone_number": "503-810-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972224628",
            "telephone_number": "877-311-1499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10700 SW Beaverton Hillsdale Hwy Ste 122",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970053035",
            "country_code": "US",
            "telephone_number": "503-214-2046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2045 Silverton Rd NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973010100",
            "country_code": "US",
            "telephone_number": "503-364-3047",
            "fax_number": "503-967-7165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOHN",
        "middle_name": "YUEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-12",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "0023306",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0018460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lee, PA-C
• Ji NA Lee
• Jiyoung Lee, PHARM D
• John J Lee, DDS
• John Sukwoo Lee, MD
• Johnathan Chungtae Lee
• Jon Lee
• Jonathan Lee
• Joon Hee Lee, L.AC.
• Joyce J Lee, MD

• Pharmacist in Portland, OR
• Providers in Portland, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.