Individual provider Active NPI

Richard Jee, RPH, MS

  • Pharmacist
  • Camp Verde, AZ
National Provider Identifier
1467796243
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
06121 Issued in AZ
Practice address
475 W Finnie Flat Rd
Camp Verde, AZ 86322-7398
Phone
(928) 899-8837
Fax
(928) 227-1896
NPI assigned
Nov 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 06121 AZ Primary
Pharmacist 183500000X 35273 CA
Pharmacist 183500000X 03110827 OH

Addresses

Primary practice location

475 W Finnie Flat Rd
Camp Verde, AZ 86322-7398

Mailing address

475 W Finnie Flat Road
Camp Verde, AZ 86322
Phone (928) 899-8837

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 Science, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
06121AZMDPharmacist
35273CAMDPharmacist
03110827OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1467796243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 W FINNIE FLAT ROAD",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "86322",
            "telephone_number": "928-899-8837",
            "fax_number": "928-227-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 W FINNIE FLAT RD",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227398",
            "telephone_number": "928-899-8837",
            "fax_number": "928-227-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEE",
        "first_name": "RICHARD",
        "credential": "RPH, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "06121",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "35273",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03110827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Verde, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.