Active NPI
Samantha Lee
- Pharmacist
- Tyler, TX
National Provider Identifier
1649170457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72708
- Practice address
- 800 E Dawson St
Tyler, TX 75701-2036 - Phone
- (903) 607-8331
- NPI assigned
- Nov 6, 2026
- Last updated
- Nov 6, 2026
- 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 | 72708 | TX | Primary |
Addresses
Primary practice location
800 E Dawson St
Tyler, TX 75701-2036
Mailing address
5895 FM 1252 W
Gladewater, TX 75647-6524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793923200000",
"number": "1649170457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5895 FM 1252 W",
"city": "GLADEWATER",
"state": "TX",
"postal_code": "756476524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E DAWSON ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757012036",
"telephone_number": "903-607-8331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-11-06",
"last_updated": "2026-11-06",
"certification_date": "2026-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "72708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.