Active NPI
Jinhee Lee, PHARMD
- Pharmacist
- Tracy, CA
National Provider Identifier
1780960351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH63830
- Practice address
- 2810 S Tracy Blvd
Tracy, CA 95377-8127 - Phone
- (209) 834-0248
- Fax
- (209) 834-0871
- NPI assigned
- Oct 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH232718 | MA | |
| Pharmacist | 183500000X | RPH63830 | CA | Primary |
Addresses
Primary practice location
2810 S Tracy Blvd
Tracy, CA 95377-8127
Mailing address
11440 Windemere Pkwy
San Ramon, CA 94582
Phone (925) 364-6401
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 |
|---|---|---|---|
| RPH63830 | CA | MD | Pharmacist |
| PH232718 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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
- Tracy, CA
- NPI 1073831145
-
- Pharmacy
- San Ramon, CA
- NPI 1417403098
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1780960351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11440 WINDEMERE PKWY",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "94582",
"telephone_number": "925-364-6401",
"fax_number": "925-364-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 S TRACY BLVD",
"city": "TRACY",
"state": "CA",
"postal_code": "953778127",
"telephone_number": "209-834-0248",
"fax_number": "209-834-0871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JINHEE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-27",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH232718",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH63830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.