Active NPI
Ruby Lee
- Pharmacist
- Gaithersburg, MD
National Provider Identifier
1689274847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25396
- Practice address
- 481 N Frederick Ave Ste 103
Gaithersburg, MD 20877-2470 - Phone
- (301) 298-9890
- Fax
- (301) 869-9909
- NPI assigned
- Oct 27, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202216472 | VA | |
| Pharmacist | 183500000X | 25396 | MD | Primary |
Addresses
Primary practice location
481 N Frederick Ave Ste 103
Gaithersburg, MD 20877-2470
Mailing address
481 N Frederick Ave Ste 103
Gaithersburg, MD 20877-2470
Phone (301) 298-9890
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202216472 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eden Health Clinic Inc | Current | Accepting new patients | |
| RNK Pharmacy Inc. | Current | Accepting new patients |
Locations
481 N Frederick Ave
Ste 103
Gaithersburg, MD 20877
Phone (301) 298-9890
Interoperability endpoints
- https://api.platform.athenahealth.com/15349/brand/1/csg/1/fhir/r4
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.
-
- Multi-Specialty Clinic/Center
- Gaithersburg, MD
- NPI 1285310847
-
- Pharmacy
- Gaithersburg, MD
- NPI 1841946654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1689274847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 N FREDERICK AVE STE 103",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208772470",
"telephone_number": "301-298-9890",
"fax_number": "301-869-9909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 N FREDERICK AVE STE 103",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208772470",
"telephone_number": "301-298-9890",
"fax_number": "301-869-9909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "RUBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202216472",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "25396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.