Individual provider Active NPI

Kevin K Lee, RPH

  • Pharmacist
  • El Monte, CA
National Provider Identifier
1770122285
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
35543 Issued in CA
Practice address
11940 Garvey Ave
El Monte, CA 91732-3514
Phone
(626) 350-1052
Fax
(626) 350-8122
NPI assigned
Dec 31, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 35543 CA Primary

Addresses

Primary practice location

11940 Garvey Ave
El Monte, CA 91732-3514

Mailing address

11940 Garvey Ave
El Monte, CA 91732-3514
Phone (626) 350-1052

Other names 1

  • Kevin Kam-Chuen Lee Other name

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
35543CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1770122285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11940 GARVEY AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323514",
            "telephone_number": "626-350-1052",
            "fax_number": "626-350-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 GARVEY AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323514",
            "telephone_number": "626-350-1052",
            "fax_number": "626-350-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KEVIN",
        "middle_name": "K",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "35543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "LEE",
            "middle_name": "KAM-CHUEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.