Active NPI
Edward Lee
- Pharmacist
- New York, NY
National Provider Identifier
1700165495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 050707
- Practice address
- 216 West 72ND St
New York, NY 10023 - Phone
- (212) 875-1718
- NPI assigned
- Aug 11, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 050707 | NY | Primary |
| Pharmacist | 183500000X | 232340 | MA |
Addresses
Primary practice location
216 West 72ND St
New York, NY 10023
Mailing address
330 E 39TH St
Apt #21E
New York, NY 10016-2187
Phone (919) 260-1081
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 |
|---|---|---|---|
| 232340 | MA | MD | Pharmacist |
| 050707 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Noub LTD | Past | Accepting new patients | |
| ABA Noub LTD | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1639116478
-
- Long Term Care Pharmacy
- New York, NY
- NPI 1902643224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1700165495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 E 39TH ST",
"address_2": "APT #21E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162187",
"telephone_number": "919-260-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 WEST 72ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10023",
"telephone_number": "212-875-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "EDWARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-11",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "050707",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "232340",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.