Active NPI
Samantha Lee
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1902055635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 052989
- Practice address
- 7009 13TH Avenue
Brooklyn, NY 11228 - Phone
- (718) 256-1761
- Fax
- (718) 256-6851
- NPI assigned
- Sep 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 052989 | NY | Primary |
Addresses
Primary practice location
7009 13TH Avenue
Brooklyn, NY 11228
Mailing address
7009 13TH Avenue
Brooklyn, NY 11228
Phone (718) 256-1761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00768869 | Medicaid | NY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1902055635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7009 13TH AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11228",
"telephone_number": "718-256-1761",
"fax_number": "718-256-6851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7009 13TH AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11228",
"telephone_number": "718-256-1761",
"fax_number": "718-256-6851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "052989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00768869",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.