Active NPI
Jenny Lee, PHARM.D
- Pharmacist
- Elm Grove, WI
National Provider Identifier
1346607157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16772-40
- Practice address
- 12500 W Bluemound Rd Ste 201
Elm Grove, WI 53122-2600 - Phone
- (262) 787-2132
- NPI assigned
- Jan 25, 2016
- 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 | 16772-40 | WI | Primary |
Addresses
Primary practice location
12500 W Bluemound Rd Ste 201
Elm Grove, WI 53122-2600
Mailing address
16985 W Bluemound Rd
Suite 100
Brookfield, WI 53005-5909
Phone (262) 641-7665
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16772-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1346607157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16985 W BLUEMOUND RD",
"address_2": "SUITE 100",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530055909",
"telephone_number": "262-641-7665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 W BLUEMOUND RD STE 201",
"city": "ELM GROVE",
"state": "WI",
"postal_code": "531222600",
"telephone_number": "262-787-2132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JENNY",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-25",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16772-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elm Grove, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.