Active NPI
Mai Tong Lee
- Pharmacist
- Coos Bay, OR
National Provider Identifier
1891568481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PI-0013789
- Practice address
- 230 E Johnson Ave
Coos Bay, OR 97420-1478 - Phone
- (541) 267-1710
- NPI assigned
- Nov 6, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PI-0013789 | OR | Primary |
Addresses
Primary practice location
230 E Johnson Ave
Coos Bay, OR 97420-1478
Mailing address
PO Box 593
North Bend, OR 97459-0048
Phone (651) 447-9856
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 |
|---|---|---|---|
| PI-0013789 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1891568481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 593",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974590048",
"telephone_number": "651-447-9856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E JOHNSON AVE",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974201478",
"telephone_number": "541-267-1710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MAI",
"middle_name": "TONG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "PI-0013789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.