JUNG LEE (NPI# 1063075844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063075844 |
| Entity Type | Individual |
| Full Name | JUNG LEE |
| Practice Address |
4424 Treat Blvd Concord CA 94521-2704 |
| Practice Telephone | 9256764040 |
| Mailing Telephone | 9256764040 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 78879 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467707653 | Jung Joo Lee | Dentist | 5616 3rd Ave, Ferndale, WA 98248-8394 | 2012-07-13 |
| 1386904548 | Jung Min Lee | Student in an Organized Health Care Education/Training Program | 210 E 64th St Fl Center6, New York, NY 10065-7471 | 2012-05-22 |
| 1700151115 | Jung Gun Lee | Acupuncturist | 991 Arapahoe St Unit 406, Los Angeles, CA 90006-5839 | 2012-03-19 |
| 1346521200 | Jung Hyun Lee | Dentist | 280 N Central Ave Ste 420, Hartsdale, NY 10530-1842 | 2011-09-06 |
| 1467749473 | Jung Jin Lee | General Practice | 390 Birch St, Morgantown, WV 26505 | 2011-06-29 |
| 1528372182 | Jung A Lee | Pharmacist | 116-130 Broadway, Passaic, NJ 07055 | 2010-08-05 |
| 1518138874 | Jung Suk Lee | Acupuncturist | 8 Brookes Ave, Suite102, Gaithersburg, MD 20877-2753 | 2008-03-14 |
| 1841477379 | Jung Ik Lee | Dentist | 1139 Roxbury Dr, Westbury, NY 11590-5444 | 2008-01-28 |
| 1316169246 | Jung Eun Lee | Pharmacist | 4551 Forbes Blvd, Lanham, MD 20706 | 2007-05-02 |
| 1255491346 | Jung Lee | Dentist | 507 S Second Street, Champaign, IL 61820 | 2006-12-11 |
| Street Address |
4424 TREAT BLVD |
| City | CONCORD |
| State | CA |
| Zip Code | 94521-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437193885 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 4424 Treat Blvd, Concord, CA 94521-2704 | 2006-06-16 |
| 1942865274 | Fernadette Angela Farin | Pharmacist | 4424 Treat Blvd, Concord, CA 94521-2799 | 2019-05-02 |
| 1700350691 | Luan Nguyen | Pharmacist | 4424 Treat Blvd, Concord, CA 94521-2704 | 2019-01-14 |
| 1912370925 | Ashley Gubser | Pharmacist | 4424 Treat Blvd, Concord, CA 94521-2704 | 2015-11-12 |
| 1447623640 | Ala Mohempour | Pharmacist | 4424 Treat Blvd, Concord, CA 94521-2704 | 2015-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184169229 | Bronze Owl LLC | Non-emergency Medical Transport (VAN) | 1424 Cape Cod Way, Concord, CA 94521 | 2016-12-28 |
| 1245617620 | Magnolia Guest Home LLC | Assisted Living Facility | 1639 Fairwood Dr, Concord, CA 94521 | 2015-05-05 |
| 1326436387 | Yolanda Rosemarie Overton | Counselor | 2191 Kirker Pass Road, Concord, CA 94521 | 2014-12-29 |
| 1174872063 | Clayton Valley Charter High School | Local Education Agency (LEA) | 1101 Alberta Way, Concord, CA 94521 | 2012-09-06 |
| 1720365026 | Danielle Liane Allen | Occupational Therapist | 4367 Concord Blvd., Concord, CA 94521 | 2011-11-15 |
| 1003095951 | Bita Louise Matin | Dentist | 1494 Balhan Dr, Concord, CA 94521 | 2007-10-29 |
| 1265567333 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4118 Phoenix St, Concord, CA 94521 | 2007-02-22 |
| 1780729392 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4160 Phoenix St, Concord, CA 94521 | 2007-02-21 |
| 1528121118 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 5166 Sutherland Dr, Concord, CA 94521 | 2006-12-18 |
| 1407918576 | Horace Joseph Beach | Psychologist | 1460 Washington Blvd Ste C-6, Concord, CA 94521 | 2006-12-15 |
| Find all providers in zip 94521 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376246 | Mazen A Seleem | Pharmacist | 1467 Balhan Dr Apt 106, Concord, CA 94521-3754 | 2020-08-14 |
| 1912538422 | Mohammed Youssef | Pharmacist | 1495 Balhan Dr Apt 208, Concord, CA 94521-3772 | 2020-02-03 |
| 1013477694 | Joseph Pirani | Pharmacist | 1 Granite Pl Ste N200, Concord, NH 03301-3274 | 2019-03-21 |
| 1386112548 | Andrew Barlow | Pharmacist | 631 Gable Oaks Ln Nw, Concord, NC 28027-5203 | 2018-11-06 |
| 1194293498 | Jeffrey Michael Cho | Pharmacist | 954 Rosehedge Ct, Concord, CA 94521-5453 | 2018-11-05 |
| 1720553951 | Lindsi Tillo | Pharmacist | 300 Poplar Station Cir Nw Apt 301, Concord, NC 28027-8363 | 2018-10-03 |
| 1144700261 | Susan Elizabeth Burpee | Pharmacist | 2837 Saint Joseph Dr, Concord, CA 94518-2154 | 2018-08-17 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1558806364 | Kirthana Beaulac | Pharmacist | 649 Cambridge Tpke, Concord, MA 01742-3726 | 2017-01-03 |
| Find all providers in CONCORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.