Active NPI
Norman Wong Lee, PHARM-D
- Pharmacist
- Fairfield, CA
National Provider Identifier
1609196609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39898
- Practice address
- 5101 Business Center Dr
Fairfield, CA 94534-1624 - Phone
- (707) 639-4106
- NPI assigned
- Jun 2, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 39898 | CA | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 39898 | CA |
Addresses
Primary practice location
5101 Business Center Dr
Fairfield, CA 94534-1624
Mailing address
5101 Business Center Dr
Fairfield, CA 94534-1624
Phone (707) 639-4106
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 |
|---|---|---|---|
| 39898 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1609196609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 BUSINESS CENTER DR",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945341624",
"telephone_number": "707-639-4106",
"fax_number": "707-639-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 BUSINESS CENTER DR",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945341624",
"telephone_number": "707-639-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "NORMAN",
"middle_name": "WONG",
"name_prefix": "Mr.",
"credential": "PHARM-D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-02",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "39898",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "39898",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.