Individual provider Active NPI

Sylvia Adonica Lee

  • Pharmacist
  • Green Valley, AZ
National Provider Identifier
1275848343
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S005710 Issued in AZ
Practice address
313 W Esperanza Blvd
Green Valley, AZ 85614-2708
Phone
(520) 648-2417
Fax
(520) 625-5118
NPI assigned
Aug 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S005710 AZ Primary

Addresses

Primary practice location

313 W Esperanza Blvd
Green Valley, AZ 85614-2708

Mailing address

313 W Esperanza Blvd
Green Valley, AZ 85614-2708
Phone (520) 648-2417

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
S005710AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1275848343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W ESPERANZA BLVD",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856142708",
            "telephone_number": "520-648-2417",
            "fax_number": "520-625-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W ESPERANZA BLVD",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856142708",
            "telephone_number": "520-648-2417",
            "fax_number": "520-625-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SYLVIA",
        "middle_name": "ADONICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S005710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.