Active NPI
Keunhyung Lee
- Pharmacist
- New Haven, CT
National Provider Identifier
1558724245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0013028
- Practice address
- 767 Orange St
New Haven, CT 06511-2534 - Phone
- (203) 691-5405
- Fax
- (203) 691-5107
- NPI assigned
- Mar 31, 2016
- 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 | PCT.0013028 | CT | Primary |
Addresses
Primary practice location
767 Orange St
New Haven, CT 06511-2534
Mailing address
226 Fountain St
Apt 607
New Haven, CT 06515-1953
Phone (860) 885-4933
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0013028 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1558724245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 FOUNTAIN ST",
"address_2": "APT 607",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065151953",
"telephone_number": "860-885-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 ORANGE ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065112534",
"telephone_number": "203-691-5405",
"fax_number": "203-691-5107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KEUNHYUNG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-31",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0013028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.