Active NPI
Christopher Ta Lee
- Pharmacist
- Hayward, CA
National Provider Identifier
1801387600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70605
- Practice address
- 21150 Cabot Blvd
Hayward, CA 94545-1130 - Phone
- (510) 847-5474
- NPI assigned
- May 29, 2018
- Sex
- Male
- 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 | 70605 | CA | Primary |
Addresses
Primary practice location
21150 Cabot Blvd
Hayward, CA 94545-1130
Mailing address
40 Alamo Ave
Berkeley, CA 94708-1328
Phone (510) 847-5474
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
| License | State | Type | Specialty |
|---|---|---|---|
| 70605 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659744000000",
"number": "1801387600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ALAMO AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947081328",
"telephone_number": "510-847-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21150 CABOT BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945451130",
"telephone_number": "510-847-5474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHRISTOPHER",
"middle_name": "TA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-29",
"last_updated": "2022-08-06",
"certification_date": "2022-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.