Active NPI
Michelle Lee
- Pharmacist
- New York, NY
National Provider Identifier
1770002149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 063455
- Practice address
- 82 Mulberry St FRNT B
New York, NY 10013-4450 - Phone
- (212) 619-6190
- NPI assigned
- Sep 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 063455 | NY | Primary |
Addresses
Primary practice location
82 Mulberry St FRNT B
New York, NY 10013-4450
Mailing address
82 Mulberry St FRNT B
New York, NY 10013-4450
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 |
|---|---|---|---|
| 063455 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canalberry Corp. | Pharmacist | Current | Accepting new patients |
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Locations
82 Mulberry St
Frnt B
New York, NY 10013
Phone (212) 619-6190
Organizations & group practices 3
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.
-
- Pharmacy
- New York, NY
- NPI 1629372370
-
- Pharmacy
- Brooklyn, RI
- NPI 1679459481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1770002149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 MULBERRY ST FRNT B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 MULBERRY ST FRNT B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134450",
"telephone_number": "212-619-6190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-16",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063455",
"primary": true
}
],
"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 Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.