Active NPI
Nicole J Lee, PHARMD
- Pharmacist
- Hemet, CA
National Provider Identifier
1790388395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83846
- Practice address
- 1001 E Latham Ave Ste P
Hemet, CA 92543-4435 - Phone
- (951) 658-7111
- NPI assigned
- Nov 17, 2020
- Last updated
- Nov 17, 2020
- 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 | 83846 | CA | Primary |
Addresses
Primary practice location
1001 E Latham Ave Ste P
Hemet, CA 92543-4435
Mailing address
547 Shadowbrook CT
Redlands, CA 92374-6474
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 |
|---|---|---|---|
| 83846 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1790388395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "547 SHADOWBROOK CT",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923746474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E LATHAM AVE STE P",
"city": "HEMET",
"state": "CA",
"postal_code": "925434435",
"telephone_number": "951-658-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "NICOLE",
"middle_name": "J",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.