Active NPI
Brian Lee, PHARM.D., M.S.
- Pharmacist
- Highland, CA
National Provider Identifier
1518353499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 57057
- Practice address
- 7241 Boulder Ave
Highland, CA 92346 - Phone
- (909) 425-1298
- NPI assigned
- Apr 8, 2015
- Sex
- Male
- 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 | 57057 | CA | Primary |
Addresses
Primary practice location
7241 Boulder Ave
Highland, CA 92346
Mailing address
PO Box 8911
Alta Loma, CA 91701-0911
Other practice location 1
16225 Sierra Lakes Pkwy
Fontana, CA 92336
Phone (909) 357-2525
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, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57057 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Longs Drug Stores California LLC | 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.
-
dba CVS Pharmacy #09313
- Community/Retail Pharmacy
- Highland, CA
- NPI 1205879038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544313600000",
"number": "1518353499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8911",
"city": "ALTA LOMA",
"state": "CA",
"postal_code": "917010911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7241 BOULDER AVE",
"city": "HIGHLAND",
"state": "CA",
"postal_code": "92346",
"telephone_number": "909-425-1298"
}
],
"practiceLocations": [
{
"address_1": "16225 Sierra Lakes Pkwy",
"address_purpose": "LOCATION",
"city": "Fontana",
"state": "CA",
"postal_code": "92336",
"country_code": "US",
"telephone_number": "909-357-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "BRIAN",
"credential": "PHARM.D., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-08",
"last_updated": "2018-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "57057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.