Jina Lee, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03668400 Issued in NJ

Practice address

94 State RT 23
Riverdale, NJ 07457-1208

Phone

(973) 850-2862

NPI assigned

May 11, 2015

Last updated

May 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1902284946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 STATE RT 23",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571208",
            "telephone_number": "973-850-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 STATE RT 23",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571208",
            "telephone_number": "973-850-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JINA",
        "name_prefix": "Ms.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03668400",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "059816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Ladyzhensky, OTD
• Sarah Jeanne Leavy, MSOT, OTR/L
• Edward Jung Kyun Lee, M.D.
• Eun Young Lee, D.M.D.
• Jessie Yenyi Lee, P.T., D.P.T.
• Yongeun Lee
• Bruce Israel Leibowitz, DDS
• Charles Leighton, L.C.S.W.
• Gena Lentz, PT
• Jonathan Marc Levine, M.D.

• Pharmacist in Riverdale, NJ
• Providers in Riverdale, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.