Active NPI
Katherine Lee, PHARM D.
- Pharmacist
- New York, NY
National Provider Identifier
1629277058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 050530
- Practice address
- 495 Broadway
Eckerd/Rite Aid Drugs
New York, NY 10012-4457 - Phone
- (212) 334-2452
- Fax
- (212) 334-3420
- NPI assigned
- Jul 16, 2007
- Last updated
- Nov 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 050530 | NY | Primary |
Addresses
Primary practice location
495 Broadway
Eckerd/Rite Aid Drugs
New York, NY 10012-4457
Mailing address
495 Broadway
Eckerd/Rite Aid Drugs
New York, NY 10012-4457
Phone (212) 334-2452
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02614419 | Medicaid | NY |
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 |
|---|---|---|---|
| 050530 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1629277058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 BROADWAY",
"address_2": "ECKERD/RITE AID DRUGS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100124457",
"telephone_number": "212-334-2452",
"fax_number": "212-334-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 BROADWAY",
"address_2": "ECKERD/RITE AID DRUGS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100124457",
"telephone_number": "212-334-2452",
"fax_number": "212-334-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "050530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02614419",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.