Individual provider Active NPI

Jonathan Lee

  • Pharmacist
  • Corning, CA
National Provider Identifier
1780243550
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
80034 Issued in CA
Practice address
640 Edith Ave
Corning, CA 96021-2349
Phone
(530) 826-5086
NPI assigned
Jun 6, 2019
Sex
Male
Sole proprietor
No

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.

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

LicenseStateTypeSpecialty
80034CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc PastSince Mar 21, 2021 Accepting new patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 80034 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

640 Edith Ave
Corning, CA 96021-2349

Mailing address

4070 Nord Hwy Apt 121
Chico, CA 95973-9670

Other practice location 1

650 Mangrove Ave
Chico, CA 95926-3947
Phone (530) 891-6722

Other practice location 2

14115 Lakeridge Cir
Magalia, CA 95954-9470
Phone (530) 873-0800

Other practice location 3

6007 Clark Rd
Paradise, CA 95969-3598
Phone (530) 872-2700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2021.

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1780243550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 NORD HWY APT 121",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959739670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 EDITH AVE",
            "city": "CORNING",
            "state": "CA",
            "postal_code": "960212349",
            "telephone_number": "530-826-5086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Mangrove Ave",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959263947",
            "country_code": "US",
            "telephone_number": "530-891-6722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14115 Lakeridge Cir",
            "address_purpose": "LOCATION",
            "city": "Magalia",
            "state": "CA",
            "postal_code": "959549470",
            "country_code": "US",
            "telephone_number": "530-873-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6007 Clark Rd",
            "address_purpose": "LOCATION",
            "city": "Paradise",
            "state": "CA",
            "postal_code": "959693598",
            "country_code": "US",
            "telephone_number": "530-872-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "80034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.