Kenneth H Lee

Primary specialty

PharmacistTaxonomy code 183500000X

License

0010851 Issued in CT

Practice address

1968 Black Rock Tpke
Fairfield, CT 06825-3543

Phone

(203) 366-8070

Fax

(203) 335-2132

NPI assigned

Apr 5, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kenlee1972@blackrockpharmacy.libertysoftwaredirect.com

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.

• Black Rock Pharmacy LLC

  • Community/Retail Pharmacy
  • Fairfield, CT
  • NPI 1295209773
  NPD Authorized official
• Weston Pharmacy LLC

  • Community/Retail Pharmacy
  • Weston, CT
  • NPI 1134793508
  NPD Authorized official
• Westport Pharmacy LLC

  • Community/Retail Pharmacy
  • Westport, CT
  • NPI 1902607070
  NPD Authorized official
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Fairfield, CT
  • NPI 1295830040
  NPD (past)
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Guilford, CT
  • NPI 1417746108
  NPD (past)

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1477917516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253543",
            "telephone_number": "203-366-8070",
            "fax_number": "203-335-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253543",
            "telephone_number": "203-366-8070",
            "fax_number": "203-335-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KENNETH",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0010851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan T. Lawlor
• Linda Ann Lawson, APRN
• Nicole Norell Lay, PA-C
• Leah R Garton Aprn FNP PLLC
• Eunice Dongyoon Lee, D.M.D
• Moon Soo Lee, DDS
• Joann Leib, MSW
• Charles Paul Lemieux III, LMFT
• Matthew Bartlett Leonard I, DC
• Sophia V Leonida, MD

• Pharmacist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2025; 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.