Active NPI
Jeong Su Lee
- Pharmacist
- Buena Park, CA
National Provider Identifier
1891658043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 91450
- Practice address
- 5821 Beach Blvd Ste 101
Buena Park, CA 90621-2021 - Phone
- (714) 752-6223
- NPI assigned
- Dec 4, 2025
- 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 | 91450 | CA | Primary |
Addresses
Primary practice location
5821 Beach Blvd Ste 101
Buena Park, CA 90621-2021
Mailing address
1901 E Dyer Rd Unit 537
Santa Ana, CA 92705-5799
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 |
|---|---|---|---|
| 91450 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joy Pharmacy Inc | Current | Accepting new patients |
Locations
5821 Beach Blvd
#101
Buena Park, CA 90621
Phone (714) 752-6223
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Buena Park, CA
- NPI 1134920754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1891658043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 E DYER RD UNIT 537",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927055799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5821 BEACH BLVD STE 101",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906212021",
"telephone_number": "714-752-6223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JEONG SU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-04",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "91450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.