Heeho Lee, PHARM. D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS63083 Issued in FL

Practice address

14040 W Newberry Rd
Newberry, FL 32669-2763

Phone

(352) 332-6255

Fax

(352) 332-6791

NPI assigned

Sep 5, 2021

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

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.

• Walgreen Co

  • Pharmacy
  • Newberry, FL
  • NPI 1609039916
  NPD
• Walgreen Co

  • Pharmacy
  • Gainesville, FL
  • NPI 1285649418
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1811665672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 SW 35TH PL APT 604",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083282",
            "telephone_number": "910-599-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 W NEWBERRY RD",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326692763",
            "telephone_number": "352-332-6255",
            "fax_number": "352-332-6791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 NW 13th St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326093418",
            "country_code": "US",
            "telephone_number": "352-380-9039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "HEEHO",
        "name_prefix": "Dr.",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-05",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS63083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Matthew Kipp, L.M.T.
• Ann Cloud Knapp, LMT
• Jessica Knowles, PT, DPT
• Dylan Lautanen, PTA
• Emily Leavins-Sketo, A.P.
• Michelle Lee, DOCTOR OF PHARMACY
• Tamara Elizabeth Leisey, OTR/L
• Lila'S Compassionate Hands Services
• Marc Alan Linden, M.D.
• LNJ Cares LLC

• All providers in Newberry, FL
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.