Active NPI
Charles Randall Lee, PHARMD
- Pharmacist
- Bakersfield, CA
National Provider Identifier
1487068573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH38790
- Practice address
- 4570 California Ave
Suite 110
Bakersfield, CA 93309-1143 - Phone
- (661) 633-1100
- Fax
- (661) 633-1415
- NPI assigned
- Jun 17, 2014
- Last updated
- Jun 17, 2014
- Sex
- Male
- 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 | RPH38790 | CA | Primary |
Addresses
Primary practice location
4570 California Ave
Suite 110
Bakersfield, CA 93309-1143
Mailing address
4570 California Ave
Suite 110
Bakersfield, CA 93309-1143
Phone (661) 633-1100
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 |
|---|---|---|---|
| RPH38790 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L & L Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1487068573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4570 CALIFORNIA AVE",
"address_2": "SUITE 110",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933091143",
"telephone_number": "661-633-1100",
"fax_number": "661-633-1415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4570 CALIFORNIA AVE",
"address_2": "SUITE 110",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933091143",
"telephone_number": "661-633-1100",
"fax_number": "661-633-1415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHARLES",
"middle_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-17",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH38790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.