Active NPI
Rick D. Lee
- Pharmacist
- Boise, ID
National Provider Identifier
1366738718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P3646
- Practice address
- 7100 W State St
Boise, ID 83714-7497 - Phone
- (208) 841-1160
- Fax
- (208) 336-6424
- NPI assigned
- Jun 23, 2011
- 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 | P3646 | ID | Primary |
Addresses
Primary practice location
7100 W State St
Boise, ID 83714-7497
Mailing address
4038 W Quail Ridge Dr
Boise, ID 83703-3850
Phone (208) 343-2687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3646 | Other | ID | PHARMACY LICENSE |
Other names 1
- Rickie Donald Lee
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 |
|---|---|---|---|
| P3646 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1366738718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4038 W QUAIL RIDGE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837033850",
"telephone_number": "208-343-2687",
"fax_number": "208-343-2687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 W STATE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837147497",
"telephone_number": "208-841-1160",
"fax_number": "208-336-6424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "RICK",
"middle_name": "D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-23",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P3646",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "P3646",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RICKIE",
"last_name": "LEE",
"middle_name": "DONALD",
"credential": "RPH",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.