Active NPI
Dasom Lee
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1952905457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP453704
- Practice address
- 1122 Chestnut St
Philadelphia, PA 19107-4802 - Phone
- (215) 574-3502
- NPI assigned
- Nov 24, 2020
- 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 | RP453704 | PA | Primary |
Addresses
Primary practice location
1122 Chestnut St
Philadelphia, PA 19107-4802
Mailing address
1520 Hamilton St Apt 522
Philadelphia, PA 19130-4281
Phone (636) 751-3753
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 |
|---|---|---|---|
| RP453704 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1952905457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 HAMILTON ST APT 522",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191304281",
"telephone_number": "636-751-3753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 CHESTNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074802",
"telephone_number": "215-574-3502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DASOM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP453704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.