Active NPI
Kristina Myung Jin Mun Lee, R.PH.
- Pharmacist
- Oak Brook, IL
National Provider Identifier
1518296722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051293783
- Practice address
- 711 Jorie Blvd
Oak Brook, IL 60523-4425 - Phone
- (630) 891-5000
- NPI assigned
- Dec 17, 2009
- Last updated
- Dec 17, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 051293783 | IL | Primary |
Addresses
Primary practice location
711 Jorie Blvd
Oak Brook, IL 60523-4425
Mailing address
1065 Talbots LN
Elk Grove Village, IL 60007-7111
Phone (972) 333-6881
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051293783 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261008000000",
"number": "1518296722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 TALBOTS LN",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600077111",
"telephone_number": "972-333-6881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 JORIE BLVD",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605234425",
"telephone_number": "630-891-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KRISTINA",
"middle_name": "MYUNG JIN MUN",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-17",
"last_updated": "2009-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051293783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.