Active NPI
Brandon S Lee, PHARM. D
- Pharmacist
- Rancho Mirage, CA
National Provider Identifier
1831375187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60401
- Practice address
- 39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221 - Phone
- (760) 674-3641
- Fax
- (760) 773-1669
- NPI assigned
- Jan 17, 2008
- Last updated
- Aug 9, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 60401 | CA | Primary |
Addresses
Primary practice location
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Mailing address
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 674-3641
Other practice location 1
30015 Date Palm Dr
Cathedral City, CA 92234-2822
Phone (760) 770-3659
Other practice location 2
1695 N Sunrise Way
Palm Springs, CA 92262-3701
Phone (760) 325-9370
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 |
|---|---|---|---|
| 60401 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1831375187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-674-3641",
"fax_number": "760-773-1669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-674-3641",
"fax_number": "760-773-1669"
}
],
"practiceLocations": [
{
"address_1": "30015 Date Palm Dr",
"address_purpose": "LOCATION",
"city": "Cathedral City",
"state": "CA",
"postal_code": "922342822",
"country_code": "US",
"telephone_number": "760-770-3659",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1695 N Sunrise Way",
"address_purpose": "LOCATION",
"city": "Palm Springs",
"state": "CA",
"postal_code": "922623701",
"country_code": "US",
"telephone_number": "760-325-9370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "BRANDON",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-17",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "60401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.