Organization Active NPI

Michael Yoong Lee

Doing business as Lees Niles Drug Store

  • Community/Retail Pharmacy
  • Bakersfield, CA
National Provider Identifier
1982615563
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY36929 Issued in CA
Legal business name
MICHAEL YOONG LEE
Doing business as
Lees Niles Drug Store
Practice address
1405 Niles St
Bakersfield, CA 93305-4731
Phone
(661) 327-9317
Fax
(661) 327-8214
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Michael Lee
Title
Owner
Phone
(661) 327-9317

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY36929 CA Primary

Addresses

Primary practice location

1405 Niles St
Bakersfield, CA 93305-4731

Mailing address

1405 Niles St
Bakersfield, CA 93305-4731
Phone (661) 327-9317

Other identifiers 2

IdentifierTypeStateIssuer
PHA369290MedicaidCA
1996498OtherPK

Other names 1

  • Lees Niles Drug Store Doing business as

National Provider Directory

National Provider Directory

Locations

1405 Niles St
Bakersfield, CA 93305
Phone (661) 327-9317

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1982615563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 NILES ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054731",
            "telephone_number": "661-327-9317",
            "fax_number": "661-327-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 NILES ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054731",
            "telephone_number": "661-327-9317",
            "fax_number": "661-327-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL YOONG LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-327-9317"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY36929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA369290",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1996498",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lees Niles Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.