Individual provider Active NPI

Joey Kit Lee, PHARM.D., C.D.E.

  • Nutrition Support Pharmacist
  • Anaheim, CA
National Provider Identifier
1881626752
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Support PharmacistTaxonomy code 1835N1003X
License
RPH50337 Issued in CA
Practice address
3414 W. Ball Road
Suite L
Anaheim, CA 92804-3726
Phone
(714) 580-9608
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support Pharmacist 1835N1003X RPH50337 CA Primary

Addresses

Primary practice location

3414 W. Ball Road
Suite L
Anaheim, CA 92804-3726

Mailing address

2217 S Campbell Avenue
Alhambra, CA 91803-7113
Phone (714) 580-9608

Other identifiers 1

IdentifierTypeStateIssuer
2222-0285OtherCACERTIFIED DIABETES EDUCAT

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)
Enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH50337CAMDNutrition Support Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmedcare LLC CurrentSince Dec 1, 2006 Accepting new patients
JKL Group, Inc. Current Accepting new patients
JKL Group, Inc. CurrentSince Oct 21, 2020 Accepting new patients

Locations

150 S Raymond Ave
Alhambra, CA 91801
Phone (626) 300-0008

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881626752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 S CAMPBELL AVENUE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918037113",
            "telephone_number": "714-580-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 W. BALL ROAD",
            "address_2": "SUITE L",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043726",
            "telephone_number": "714-580-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOEY",
        "middle_name": "KIT",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., C.D.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "CA",
            "license": "RPH50337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED DIABETES EDUCAT",
            "identifier": "2222-0285",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.