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
- 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1068813 | Medicaid | CA |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1336260348
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1068813",
"state": "CA"
}
],
"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.