Active NPI
Rick Lee, RPH MBA
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1407996739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP037515L
- Practice address
- 714 Market St
Suite 312
Philadelphia, PA 19106-2326 - Phone
- (215) 429-9646
- NPI assigned
- Feb 7, 2007
- Last updated
- Aug 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | RP037515L | PA | Primary |
Addresses
Primary practice location
714 Market St
Suite 312
Philadelphia, PA 19106-2326
Mailing address
702 Worthington Dr
Moorestown, NJ 08057-4403
Phone (215) 429-9646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP037515L | Other | PA | PHARMACIST LICENSE |
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
- Master of Business Administration, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP037515L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1407996739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 WORTHINGTON DR",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080574403",
"telephone_number": "215-429-9646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 MARKET ST",
"address_2": "SUITE 312",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191062326",
"telephone_number": "215-429-9646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "RICK",
"credential": "RPH MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP037515L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "RP037515L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.