Individual provider Active NPI

Sharon Lee

  • Pharmacist
  • Pomona, CA
National Provider Identifier
1467720482
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
63094 Issued in CA
Practice address
160 E Artesia St Ste 135
Pomona, CA 91767-2924
Phone
(909) 623-0551
Fax
(909) 865-2981
NPI assigned
Dec 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 63094 CA Primary

Addresses

Primary practice location

160 E Artesia St Ste 135
Pomona, CA 91767-2924

Mailing address

8350 Dew Drop CT
Eastvale, CA 92880-1058

Other practice location 1

1770 N Orange Grove Ave Ste 100
Pomona, CA 91767-3027
Phone (909) 623-6429

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

LicenseStateTypeSpecialty
63094CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Drug Co Inc Past Accepting new patients
Walgreen Co Past Accepting new patients
Bristol Drug Co Inc Past Accepting new patients
Walgreen Co PastSince Feb 27, 2022 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1467720482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 DEW DROP CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928801058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST STE 135",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672924",
            "telephone_number": "909-623-0551",
            "fax_number": "909-865-2981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 N Orange Grove Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673027",
            "country_code": "US",
            "telephone_number": "909-623-6429",
            "fax_number": "909-623-3539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHARON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "63094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.