Individual provider Active NPI

Susan Lee

  • Pharmacist
  • Smithtown, NY
National Provider Identifier
1821620063
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
066448 Issued in NY
Practice address
712 Smithtown Byp
Smithtown, NY 11787-5004
Phone
(631) 979-3404
Fax
(631) 979-3649
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066448 NY Primary

Addresses

Primary practice location

712 Smithtown Byp
Smithtown, NY 11787-5004

Mailing address

712 Smithtown Byp
Smithtown, NY 11787-5004
Phone (631) 979-3404

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

LicenseStateTypeSpecialty
066448NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Aug 18, 2024 Accepting new patients
Walgreen Co PastSince Feb 1, 2020 Accepting new patients
Walgreen Co PastSince Feb 1, 2020 Accepting new patients

Locations

652 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 486-1485

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.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1821620063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 SMITHTOWN BYP",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875004",
            "telephone_number": "631-979-3404",
            "fax_number": "631-979-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 SMITHTOWN BYP",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875004",
            "telephone_number": "631-979-3404",
            "fax_number": "631-979-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.