Active NPI
Jenny Lee, PHARM.D.
- Pharmacist
- Olympia, WA
National Provider Identifier
1669928396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61239563
- Practice address
- 4840 Journey St SE
Olympia, WA 98513-6779 - Phone
- (360) 491-9770
- Fax
- (360) 486-9556
- NPI assigned
- Sep 1, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03789800 | NJ | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH61239563 | WA | |
| Pharmacist | 183500000X | PH61239563 | WA | Primary |
Addresses
Primary practice location
4840 Journey St SE
Olympia, WA 98513-6779
Mailing address
4840 Journey St SE
Olympia, WA 98513-6779
Phone (360) 491-9770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI03789800 | Other | NJ | NJ BOARD OF PHARMACY |
| PH61239563 | Other | WA | WA STATE DEPARTMENT OF HEALTH |
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 |
|---|---|---|---|
| 28RI03789800 | NJ | MD | Pharmacist |
| PH61239563 | WA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1669928396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4840 JOURNEY ST SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985136779",
"telephone_number": "360-491-9770",
"fax_number": "360-486-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4840 JOURNEY ST SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985136779",
"telephone_number": "360-491-9770",
"fax_number": "360-486-9556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JENNY",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03789800",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH61239563",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61239563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ BOARD OF PHARMACY",
"identifier": "28RI03789800",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE DEPARTMENT OF HEALTH",
"identifier": "PH61239563",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.