Active NPI
Jonathan Art Lee, PHARM.D., R.PH., CCP
- Pharmacist
- Keansburg, NJ
National Provider Identifier
1710215272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03318400
- Practice address
- 199 Main St
Keansburg, NJ 07734-1734 - Phone
- (732) 787-1414
- NPI assigned
- Nov 21, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03318400 | NJ | Primary |
Addresses
Primary practice location
199 Main St
Keansburg, NJ 07734-1734
Mailing address
199 Main St
PO Box 130
Keansburg, NJ 07734-1734
Phone (732) 787-1414
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03318400 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258761600000",
"number": "1710215272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 MAIN ST",
"address_2": "PO BOX 130",
"city": "KEANSBURG",
"state": "NJ",
"postal_code": "077341734",
"telephone_number": "732-787-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 MAIN ST",
"city": "KEANSBURG",
"state": "NJ",
"postal_code": "077341734",
"telephone_number": "732-787-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JONATHAN",
"middle_name": "ART",
"name_prefix": "Dr.",
"credential": "PHARM.D., R.PH., CCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-21",
"last_updated": "2009-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03318400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keansburg, NJ
- Kimberly Sautner LCSW, LLC (Solutions for Growth)
- Kinetic Physical Therapy and Spine PC
- Jennifer Elizabeth Kittler, LMT
- Mehandar Kumar, M.D
- Laurel Bay Health and Rehabilitation Center
- Valerie A Lester
- Lets Go Behavior Consulting
- Yaffa Liebermann, PT
- Joji Christy Alvarado Lim
- Main Street Medical Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.