Active NPI
Thomas Doua Lee, PHARMD
- Pharmacist
- Shelby, NC
National Provider Identifier
1669069811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28441
- Practice address
- 231 E Dixon Blvd
Shelby, NC 28152-6765 - Phone
- (704) 481-8557
- NPI assigned
- Dec 22, 2020
- Last updated
- Dec 22, 2020
- Sex
- Male
- 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 | 28441 | NC | Primary |
Addresses
Primary practice location
231 E Dixon Blvd
Shelby, NC 28152-6765
Mailing address
231 E Dixon Blvd
Shelby, NC 28152-6765
Phone (704) 481-8557
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Computer |
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 |
|---|---|---|---|
| 28441 | NC | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
231 E Dixon Blvd
Shelby, NC 28152
Phone (704) 481-8557
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1669069811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 E DIXON BLVD",
"city": "SHELBY",
"state": "NC",
"postal_code": "281526765",
"telephone_number": "704-481-8557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 E DIXON BLVD",
"city": "SHELBY",
"state": "NC",
"postal_code": "281526765",
"telephone_number": "704-481-8557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "THOMAS",
"middle_name": "DOUA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-22",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "28441",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Computer",
"affiliation": "N",
"address_1": "231 E Dixon Blvd",
"city": "Shelby",
"state": "NC",
"country_code": "US",
"postal_code": "281526765",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.