Individual provider Active NPI

Eun A Lee

  • Pharmacist
  • Flushing, NY
National Provider Identifier
1831611490
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
061026 Issued in NY
Practice address
3632 Union St Ste a
Flushing, NY 11354-4195
Phone
(718) 961-6010
NPI assigned
Jul 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03742400 NJ
Pharmacist 183500000X 061026 NY Primary

Addresses

Primary practice location

3632 Union St Ste a
Flushing, NY 11354-4195

Mailing address

607 Montview PL
River Vale, NJ 07675-6223
Phone (917) 744-9999

Other practice location 1

540 Livingston St
Norwood, NJ 07648-1338
Phone (201) 784-1004

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
28RI03742400NJMDPharmacist
061026NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Norwood Pharmacy LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831611490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 MONTVIEW PL",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076756223",
            "telephone_number": "917-744-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 UNION ST STE A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544195",
            "telephone_number": "718-961-6010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Livingston St",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "NJ",
            "postal_code": "076481338",
            "country_code": "US",
            "telephone_number": "201-784-1004",
            "fax_number": "201-784-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "EUN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03742400",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "061026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.