Active NPI
Min Jung Lee, PHARMD
- Pharmacist
- Woodside, NY
National Provider Identifier
1609462167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1061426
- Practice address
- 5406 31St Ave
Woodside, NY 11377-1610 - Phone
- (718) 204-7385
- NPI assigned
- Dec 17, 2020
- 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 | 1061426 | NY | Primary |
Addresses
Primary practice location
5406 31St Ave
Woodside, NY 11377-1610
Mailing address
302 Satellite Blvd NE Ste 132-305
Suwanee, GA 30024-7181
Phone (718) 204-7385
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1061426 | Other | NY | NYS PHARMACIST LICENSE NUMBER |
| RPH032840 | Other | GA | GA BOARD OF PHARMACY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Rx01761@cvshealth.com | Direct |
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 |
|---|---|---|---|
| 1061426 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients |
Interoperability endpoints
- rx01761@cvshealth.com
Organizations & group practices 1
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.
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- Pharmacy
- Brooklyn, RI
- NPI 1679459481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1609462167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 SATELLITE BLVD NE STE 132-305",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300247181",
"telephone_number": "718-204-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5406 31ST AVE",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113771610",
"telephone_number": "718-204-7385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MIN JUNG",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-17",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "1061426",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS PHARMACIST LICENSE NUMBER",
"identifier": "1061426",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA BOARD OF PHARMACY",
"identifier": "RPH032840",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Rx01761@cvshealth.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "5406 31st Ave",
"city": "Woodside",
"state": "NY",
"country_code": "US",
"postal_code": "113771610",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.