Active NPI
Jacky Lung Hing Lee, PHARMD, MBA
- Pharmacist
- San Diego, CA
National Provider Identifier
1669726238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59318
- Practice address
- 9323 Chesapeake Dr Ste C1
San Diego, CA 92123-1034 - Phone
- (858) 229-9282
- NPI assigned
- Nov 5, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 59318 | CA | Primary |
| Pharmacist | 183500000X | 054727 | NY |
Addresses
Primary practice location
9323 Chesapeake Dr Ste C1
San Diego, CA 92123-1034
Mailing address
11790 Papagallo CT
San Diego, CA 92124-2802
Phone (858) 229-9282
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59318 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medpilot Pharmacy Inc. | Past | Accepting new patients |
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.
-
- Long Term Care Pharmacy
- San Diego, CA
- NPI 1144574260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1669726238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11790 PAPAGALLO CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921242802",
"telephone_number": "858-229-9282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9323 CHESAPEAKE DR STE C1",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231034",
"telephone_number": "858-229-9282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JACKY",
"middle_name": "LUNG HING",
"name_prefix": "Dr.",
"credential": "PHARMD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-05",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "59318",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "054727",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.