Active NPI
Richard Lee
- Driver
- Glen Oaks, NY
National Provider Identifier
1891012290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 242 030 229
- Practice address
- 25707 Union Tpke
Glen Oaks, NY 11004-1250 - Phone
- (718) 343-0070
- NPI assigned
- Apr 23, 2010
- Last updated
- Apr 23, 2010
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | 242 030 229 | NY | Primary |
Addresses
Primary practice location
25707 Union Tpke
Glen Oaks, NY 11004-1250
Mailing address
25707 Union Tpke
Glen Oaks, NY 11004-1250
Phone (718) 343-0070
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
| License | State | Type | Specialty |
|---|---|---|---|
| 242 030 229 | NY | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R and M Drug Corp | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Vitality Drug & Surgical
- Community/Retail Pharmacy
- Glen Oaks, NY
- NPI 1639180284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271980800000",
"number": "1891012290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25707 UNION TPKE",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041250",
"telephone_number": "718-343-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25707 UNION TPKE",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041250",
"telephone_number": "718-343-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-23",
"last_updated": "2010-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NY",
"license": "242 030 229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Oaks, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.