Individual provider Active NPI

Lilian Lee, PHARMD.

  • Pharmacist
  • Fullerton, CA
National Provider Identifier
1629510698
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
59406 Issued in CA
Practice address
105 N Lawrence Ave
Fullerton, CA 92832-2022
Phone
(714) 449-9300
Fax
(714) 449-9355
NPI assigned
Nov 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 59406 CA Primary

Addresses

Primary practice location

105 N Lawrence Ave
Fullerton, CA 92832-2022

Mailing address

105 N Lawrence Ave
Fullerton, CA 92832-2022
Phone (714) 449-9300

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

LicenseStateTypeSpecialty
59406CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Pharmacy Inc CurrentSince Feb 18, 2024 Accepting new patients
Be Well Pharmacy Inc Current Accepting new patients

Locations

105 N Lawrence Ave
Fullerton, CA 92832
Phone (714) 449-9300

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1629510698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N LAWRENCE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322022",
            "telephone_number": "714-449-9300",
            "fax_number": "714-449-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N LAWRENCE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322022",
            "telephone_number": "714-449-9300",
            "fax_number": "714-449-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LILIAN",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "59406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.