Active NPI
Elena Lee, PHARMD
- Pharmacist
- Playa Vista, CA
National Provider Identifier
1427700384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83795
- Practice address
- 12746 W Jefferson Blvd Ste 3160
Playa Vista, CA 90094-2778 - Phone
- (310) 862-9810
- Fax
- (310) 862-9811
- NPI assigned
- Jan 21, 2022
- Sex
- Female
- 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 | 83795 | CA | Primary |
Addresses
Primary practice location
12746 W Jefferson Blvd Ste 3160
Playa Vista, CA 90094-2778
Mailing address
12746 W Jefferson Blvd Ste 3160
Playa Vista, CA 90094-2778
Phone (310) 862-9810
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 |
|---|---|---|---|
| 83795 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS LLC | 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": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1427700384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12746 W JEFFERSON BLVD STE 3160",
"city": "PLAYA VISTA",
"state": "CA",
"postal_code": "900942778",
"telephone_number": "310-862-9810",
"fax_number": "310-962-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12746 W JEFFERSON BLVD STE 3160",
"city": "PLAYA VISTA",
"state": "CA",
"postal_code": "900942778",
"telephone_number": "310-862-9810",
"fax_number": "310-862-9811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ELENA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-21",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Playa Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.