DR. SUN LEE (NPI# 1134659832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134659832 |
| Entity Type | Individual |
| Full Name | DR. SUN LEE |
| Credential | PHARMD |
| Practice Address |
9040 Jackson Ave Tacoma WA 98431-8942 |
| Mailing Address |
Madigan Army Medical Center, 9040 Jackson Ave Attn: Mchj-clq-c Tacoma WA 98431-1100 |
| Practice Telephone | 2539681950 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051299728 | IL | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12149 Central Park Blvd, Loves Park, IL 611118942 | (312) 479-6626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255820932 | Sun Young Lee | Acupuncturist | 200 S Oxford Ave, Los Angeles, CA 90004-5105 | 2018-05-08 |
| 1700284478 | Sun Sook Lee | Acupuncturist | 8 Brookes Ave Ste 102, Gaithersburg, MD 20877-2799 | 2014-12-12 |
| 1831389675 | Sun Young Lee | Dentist | 4225 213th St Apt 1r, Bayside, NY 11361-2822 | 2007-07-27 |
| 1144397852 | Sun Hi Lee | Pediatrics | 2317 17th Street, Bakersfield, CA 93301-3503 | 2006-11-29 |
| 1225680531 | Sun Joo Lee | Student in an Organized Health Care Education/Training Program | 14207 Coit Rd, Dallas, TX 75254-2700 | 2019-07-16 |
| 1215432513 | Sun Lee | Student in an Organized Health Care Education/Training Program | 800 Washington St # 400, Boston, MA 02111 | 2018-03-28 |
| 1467993006 | Sun Lee | Physical Therapy Assistant | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2017-03-15 |
| 1407220171 | Sun Rye Lee | Acupuncturist | 3663 W 6th St, #308, Los Angeles, CA 90020 | 2015-11-18 |
| 1164699963 | Sun Y Lee | Internal Medicine | 732 Harrison Ave, Preston Family Building 2nd Floor, Boston, MA 02118-2309 | 2008-05-12 |
| 1295913523 | Sun Moon Lee | Pediatrics | 300 Hillmont Ave, Bldg 340, Ste 302, Ventura, CA 93003-1651 | 2008-02-08 |
| Street Address |
9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-8942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345185 | John E Buonora | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave, Tacoma, WA 98431-2025 | 2005-06-09 |
| 1629675251 | Brian Rankin | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-10-06 |
| 1508473869 | Allyssa Lynn Borak | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1093322299 | Jessica Granger | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1134736481 | Rebecca Reinhardt | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-29 |
| 1184238479 | Mark Nash | Physical Therapist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-03 |
| 1679191969 | Christopher A Land | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-13 |
| 1396362604 | Valerie Kruger | Genetic Counselor, MS | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-02 |
| 1255958724 | Michael Wong | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-01 |
| 1841813391 | Kailey Utley | Optometrist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| 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 |
|---|---|---|---|---|
| 1275008070 | Kristi Anne Escalante | Pharmacist | 2368 Yakima Ave Unit 714, Tacoma, WA 98405-3966 | 2018-10-08 |
| 1851890180 | Chae Yun Kim | Pharmacist | 1902 96th St S, Tacoma, WA 98444-2808 | 2018-02-01 |
| 1407367980 | Heather Tilley | Pharmacist | 1717 S J St # Ms 01-79, Tacoma, WA 98405-4933 | 2017-10-23 |
| 1477097756 | Debra M Hines | Pharmacist | 9040a Jackson, Tacoma, WA 98431-0001 | 2016-12-06 |
| 1154879575 | Min Shim | Pharmacist | 3806 E L St, Tacoma, WA 98404-3735 | 2016-09-14 |
| 1689129413 | Amanda Nguyen | Pharmacist | 1901 S Union Ave Ste A252, Tacoma, WA 98405-1713 | 2016-08-22 |
| 1649659301 | Shirley So | Pharmacist | 315 Mlk. Jr Way, Tacoma, WA 98405-9997 | 2015-05-27 |
| 1245623628 | David Johnson | Pharmacist | 10223 50th Ave E, Tacoma, WA 98446-5412 | 2015-03-10 |
| 1972995967 | Tuyen Huynh | Pharmacist | 1608 South J St, Tacoma, WA 98405 | 2015-02-27 |
| 1396134060 | Chun Choi | Pharmacist | 13817 12th Ave S, Tacoma, WA 98444-2044 | 2015-01-17 |
| Find all providers in TACOMA | ||||
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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.