Active NPI
Sadesha Monae Lee
- Pharmacist
- Denmark, SC
National Provider Identifier
1275293102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43291
- Practice address
- 18252 Heritage Hwy
Denmark, SC 29042-1353 - Phone
- (803) 793-4213
- NPI assigned
- Dec 20, 2021
- Sex
- Female
- 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 | 43291 | SC | Primary |
Addresses
Primary practice location
18252 Heritage Hwy
Denmark, SC 29042-1353
Mailing address
1350 Bunch Ford Rd
Holly Hill, SC 29059-8538
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 |
|---|---|---|---|
| 43291 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1275293102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 BUNCH FORD RD",
"city": "HOLLY HILL",
"state": "SC",
"postal_code": "290598538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18252 HERITAGE HWY",
"city": "DENMARK",
"state": "SC",
"postal_code": "290421353",
"telephone_number": "803-793-4213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SADESHA",
"middle_name": "MONAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-20",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "43291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denmark, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.