Individual provider Active NPI

Hyun Min Lee, PHARMD

  • Pharmacist
  • Winder, GA
National Provider Identifier
1851065205
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
033567 Issued in GA
Practice address
17 Monroe Hwy Ste a
Winder, GA 30680-2494
Phone
(770) 307-2906
NPI assigned
Aug 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 43084 SC
Pharmacist 183500000X 033567 GA Primary

Addresses

Primary practice location

17 Monroe Hwy Ste a
Winder, GA 30680-2494

Mailing address

3283 Lowell Rd
Bethlehem, GA 30620-3350
Phone (706) 333-5223

Other practice location 1

1401 Sam Rittenberg Blvd
Charleston, SC 29407-5031
Phone (843) 852-2031

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

LicenseStateTypeSpecialty
43084SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1851065205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3283 LOWELL RD",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "306203350",
            "telephone_number": "706-333-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MONROE HWY STE A",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802494",
            "telephone_number": "770-307-2906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Sam Rittenberg Blvd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294075031",
            "country_code": "US",
            "telephone_number": "843-852-2031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "HYUN",
        "middle_name": "MIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "43084",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "033567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.