Active NPI
Charles Lee
- Pharmacist
- Naples, FL
National Provider Identifier
1275101883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS62264
- Practice address
- 5585 Golden Gate Pkwy
Naples, FL 34116-7547 - Phone
- (239) 353-8770
- NPI assigned
- Jun 11, 2021
- Last updated
- Jun 11, 2021
- 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 | PS62264 | FL | Primary |
Addresses
Primary practice location
5585 Golden Gate Pkwy
Naples, FL 34116-7547
Mailing address
5585 Golden Gate Pkwy
Naples, FL 34116-7547
Phone (239) 353-8770
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 |
|---|---|---|---|
| PS62264 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
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": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1275101883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5585 GOLDEN GATE PKWY",
"city": "NAPLES",
"state": "FL",
"postal_code": "341167547",
"telephone_number": "239-353-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5585 GOLDEN GATE PKWY",
"city": "NAPLES",
"state": "FL",
"postal_code": "341167547",
"telephone_number": "239-353-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHARLES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-11",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS62264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
- Lee Health System Inc (Behavioral Analysis Golisano Naples)
- Lee Memorial Health System (Lee Pharmacy 6)
- Lee Memorial Health System (Behavioral Analysis Golisano Naples)
- Anna Laura Lee, APRN, FNP-C
- Brenda Lee, LMFT
- Julia Sun Lee, MD
- Yong Jae Lee, M.D.
- Jennifer C Leeder, PSYD
- Matthew Leeder
- Leela R Bolla MD Medical Associates PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.