Active NPI
Jung Lee, PHARMD
- Pharmacist
- Lynnwood, WA
National Provider Identifier
1780152116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60788012
- Practice address
- 17633 Highway 99
Lynnwood, WA 98037-3627 - Phone
- (425) 743-7555
- Fax
- (425) 745-0808
- NPI assigned
- Nov 3, 2018
- 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 | PH60788012 | WA | Primary |
Addresses
Primary practice location
17633 Highway 99
Lynnwood, WA 98037-3627
Mailing address
7524 181St PL SW
Edmonds, WA 98026-5545
Phone (425) 299-6902
Other names 1
- Joe Lee
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60788012 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541203200000",
"number": "1780152116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7524 181ST PL SW",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980265545",
"telephone_number": "425-299-6902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17633 HIGHWAY 99",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980373627",
"telephone_number": "425-743-7555",
"fax_number": "425-745-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JUNG",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-03",
"last_updated": "2018-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60788012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOE",
"last_name": "LEE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.