Active NPI
Michael Yoong Lee
Doing business as Lees Niles Drug Store
- Community/Retail Pharmacy
- Bakersfield, CA
National Provider Identifier
1982615563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY36929
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA369290 | Medicaid | CA | |
| 1996498 | Other | PK |
Other names 1
- Lees Niles Drug Store
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Anaheim, CA
- NPI 1528488566
-
- Pharmacist
- Bakersfield, CA
- NPI 1144974692
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.