Active NPI
Jong Chul Lee, PHARM.D
- Pharmacist
- Ontario, CA
National Provider Identifier
1497075899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53226
- Practice address
- 1050 N Mountain Ave
Rite Aid
Ontario, CA 91762-2114 - Phone
- (909) 986-1509
- NPI assigned
- Jun 8, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 53226 | CA | Primary |
| Pharmacist | 183500000X | 15562 | NV |
Addresses
Primary practice location
1050 N Mountain Ave
Rite Aid
Ontario, CA 91762-2114
Mailing address
1432 Upland Hills Dr S
Upland, CA 91786-2430
Phone (909) 608-0754
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 |
|---|---|---|---|
| 53226 | CA | MD | General Practice Dentistry |
| 15562 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Ontario, CA
- NPI 1306955760
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275955200000",
"number": "1497075899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 UPLAND HILLS DR S",
"city": "UPLAND",
"state": "CA",
"postal_code": "917862430",
"telephone_number": "909-608-0754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 N MOUNTAIN AVE",
"address_2": "RITE AID",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917622114",
"telephone_number": "909-986-1509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JONG",
"middle_name": "CHUL",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-08",
"last_updated": "2010-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "53226",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "15562",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.