Individual provider Active NPI

Kelvin Lee

  • Pharmacist
  • Lake Stevens, WA
National Provider Identifier
1902136344
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00017824 Issued in WA
Practice address
718 91St Ave NE
Lake Stevens, WA 98258-2420
Phone
(425) 334-1523
NPI assigned
Jan 7, 2010
Last updated
Jan 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00017824 WA Primary

Addresses

Primary practice location

718 91St Ave NE
Lake Stevens, WA 98258-2420

Mailing address

718 91St Ave NE
Lake Stevens, WA 98258-2420
Phone (425) 334-1523

Other names 1

  • Mr. CHI Cheung Lee Other name

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

LicenseStateTypeSpecialty
PH00017824WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tulalip Clinical Pharmacy Current Accepting new patients
Tulalip Clinical Pharmacy Current Accepting new patients

Locations

8825 34th Ave NE
Ste A
Quil Ceda Village, WA 98271
Phone (360) 716-2660

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1902136344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 91ST AVE NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982582420",
            "telephone_number": "425-334-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 91ST AVE NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982582420",
            "telephone_number": "425-334-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KELVIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00017824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHI CHEUNG",
            "last_name": "LEE",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.