Agnes H Lee, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

68078 Issued in TX

Practice address

61MDG-Sgsap 483 North Aviation Blvd
El Segundo, CA 90245-2808

Phone

(310) 653-6662

Fax

(310) 653-6658

NPI assigned

Apr 27, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• JVK Health LLC

  • Community/Retail Pharmacy
  • Conroe, TX
  • NPI 1679466148
  NPD Authorized official
• Samlenapeter LLC.

  • Pharmacy
  • Conroe, TX
  • NPI 1932896362
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1689894982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 INTERSTATE 45 N STE 190",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042185",
            "telephone_number": "310-346-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61MDG-SGSAP 483 NORTH AVIATION BLVD",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452808",
            "telephone_number": "310-653-6662",
            "fax_number": "310-653-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "AGNES",
        "middle_name": "H",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "AZ",
            "license": "12141",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "68078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Ledezma
• Tabitha Lynn Ledford, D.C.
• Krista Leduc
• Maya Leduff
• Jenny Lee Bontigao
• Casey Lee
• Chang Hyun Lee
• Danielle Lee
• Darren Lee
• Dylan Lee

• Pharmacist in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.