Fred Earnest Lee, REG PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

FL9914PS009914 Issued in FL

Practice address

1531 Monument Road
Jacksonville, FL 32225

Phone

(904) 998-8999

Fax

(904) 998-0099

NPI assigned

Nov 6, 2006

Sex

Male

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

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750460978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 TIMUCUA TRAIL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32277",
            "telephone_number": "904-743-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 MONUMENT ROAD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32225",
            "telephone_number": "904-998-8999",
            "fax_number": "904-998-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "FRED",
        "middle_name": "EARNEST",
        "name_prefix": "Mr.",
        "credential": "REG PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "FL9914PS009914",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "GA8290RPHO8290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward M Lee, MD
• Elizabeth Ann Lee, RMHCI
• Elizabeth Wheeler Lee, PT
• Eunjae Lee, MD
• Felicia Lee, RN
• Gabriel Lee, M.D.
• Gary Lee, MD
• Hazel A Lee, LMT
• Helen Lee, AU.D.
• Holly Lee

• Pharmacist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.