Active NPI
Jiwoo Lee, RPH
- Pharmacist
- Buena Park, CA
National Provider Identifier
1386383230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85868
- Practice address
- 5450 Beach Blvd Ste 110
Buena Park, CA 90621-1277 - Phone
- (714) 576-7987
- NPI assigned
- May 31, 2022
- 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 | 85868 | CA | Primary |
Addresses
Primary practice location
5450 Beach Blvd Ste 110
Buena Park, CA 90621-1277
Mailing address
8141 4TH St Apt D
Buena Park, CA 90621-2529
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85868 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meds Envy, Inc. | Past | Accepting new patients | |
| Meds Envy Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Buena Park, CA
- NPI 1669985917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1386383230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8141 4TH ST APT D",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906212529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 BEACH BLVD STE 110",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906211277",
"telephone_number": "714-576-7987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JIWOO",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.