Active NPI
Kyung NA Lee, PHARM.D
- Pharmacist
- Farmington, NM
National Provider Identifier
1841603131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00007562
- Practice address
- 1400 W Main St
Farmington, NM 87401-3836 - Phone
- (505) 327-2262
- NPI assigned
- Jun 4, 2014
- Last updated
- Jun 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00007562 | NM | Primary |
| Pharmacist | 183500000X | 0202211674 | VA | |
| Pharmacist | 183500000X | 20921 | MD |
Addresses
Primary practice location
1400 W Main St
Farmington, NM 87401-3836
Mailing address
1400 W Main St
Farmington, NM 87401-3836
Phone (505) 327-2262
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 |
|---|---|---|---|
| 20921 | MD | MD | Clinical Social Worker |
| RP00007562 | NM | MD | Pharmacist |
| 0202211674 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1841603131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 W MAIN ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874013836",
"telephone_number": "505-327-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W MAIN ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874013836",
"telephone_number": "505-327-2262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KYUNG NA",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-04",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00007562",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202211674",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "20921",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.