Active NPI
Shelly Lee, PHARM.D. RPH
- Pharmacist
- Cedar Rapids, IA
National Provider Identifier
1366725285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20170
- Practice address
- 3325 16TH Ave SW
Cedar Rapids, IA 52404-1455 - Phone
- (319) 221-1498
- NPI assigned
- Sep 27, 2011
- Last updated
- Sep 27, 2011
- 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 | 20170 | IA | Primary |
Addresses
Primary practice location
3325 16TH Ave SW
Cedar Rapids, IA 52404-1455
Mailing address
3325 16TH Ave SW
Cedar Rapids, IA 52404-1455
Phone (319) 221-1498
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20170 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1366725285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3325 16TH AVE SW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524041455",
"telephone_number": "319-221-1498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 16TH AVE SW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524041455",
"telephone_number": "319-221-1498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SHELLY",
"name_prefix": "Dr.",
"credential": "PHARM.D. RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-27",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.