Active NPI
Ji Eun Lee
- Pharmacist
- Waltham, MA
National Provider Identifier
1437866837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH240393
- Practice address
- 69 Hickory Dr Ste 1
Waltham, MA 02451-1011 - Phone
- (781) 373-9240
- NPI assigned
- Nov 4, 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 | PH240393 | MA | Primary |
Addresses
Primary practice location
69 Hickory Dr Ste 1
Waltham, MA 02451-1011
Mailing address
255 North Rd Unit 37
Chelmsford, MA 01824-1406
Phone (774) 641-9488
Other practice location 1
25 Wood St
Lowell, MA 01851-1518
Phone (978) 458-4621
Other practice location 2
255 North Rd Unit 37
Chelmsford, MA 01824-1406
Phone (774) 641-9488
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 |
|---|---|---|---|
| PH240393 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1437866837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 NORTH RD UNIT 37",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018241406",
"telephone_number": "774-641-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 HICKORY DR STE 1",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511011",
"telephone_number": "781-373-9240"
}
],
"practiceLocations": [
{
"address_1": "25 Wood St",
"address_purpose": "LOCATION",
"city": "Lowell",
"state": "MA",
"postal_code": "018511518",
"country_code": "US",
"telephone_number": "978-458-4621",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "255 North Rd Unit 37",
"address_purpose": "LOCATION",
"city": "Chelmsford",
"state": "MA",
"postal_code": "018241406",
"country_code": "US",
"telephone_number": "774-641-9488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JI EUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-04",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH240393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.