Kwang SE Lee, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28315 Issued in MD

Practice address

481 N Frederick Ave Ste 103
Gaithersburg, MD 20877-2470

Phone

(301) 298-9890

Fax

(301) 869-9909

NPI assigned

Apr 28, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15349/brand/1/csg/1/fhir/r4

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.

• RNK Pharmacy Inc.

  • Pharmacy
  • Gaithersburg, MD
  • NPI 1841946654
  NPD
• Eden Health Clinic Inc

  • Multi-Specialty Clinic/Center
  • Gaithersburg, MD
  • NPI 1285310847
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1811632425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10945 PRICE MANOR WAY APT 264",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207236045",
            "telephone_number": "443-285-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 N FREDERICK AVE STE 103",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772470",
            "telephone_number": "301-298-9890",
            "fax_number": "301-869-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KWANG SE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "28315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenni Yoon Lee, M.D.
• Ji Y. Lee, PHARMACIST
• Joo Yeb Lee
• Karl Edward Lee, DMD
• Kristi Alethea Lee, M.D.
• Lien-Jiun Lee, L. AC
• Michelle Lee
• Michelle M Lee, DACM, L.AC.
• Nsana Lee
• Patrick C Lee, D.D.S.

• Pharmacist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.