Active NPI
Kenneth K Yee, PHARM D
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1962563387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A14162
- Practice address
- 861 N Broadway
Los Angeles, CA 90012-2309 - Phone
- (213) 622-2777
- Fax
- (213) 622-8805
- NPI assigned
- Dec 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | A14162 | CA | Primary |
Addresses
Primary practice location
861 N Broadway
Los Angeles, CA 90012-2309
Mailing address
861 N Broadway
Los Angeles, CA 90012-2309
Phone (213) 622-2777
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A14162 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KDJ Healthcare Inc | Past | Accepting new patients |
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, 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": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962563387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "861 N BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122309",
"telephone_number": "213-622-2777",
"fax_number": "213-622-8805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "861 N BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122309",
"telephone_number": "213-622-2777",
"fax_number": "213-622-8805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEE",
"first_name": "KENNETH",
"middle_name": "K",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "A14162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.