JUNG IN LEE (NPI# 1306409735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306409735 |
| Entity Type | Individual |
| Full Name | JUNG IN LEE |
| Credential | PHARMD |
| Practice Address |
4110 N 1st St San Jose CA 95134-1513 |
| Mailing Address |
240 Gregg Dr Los Gatos CA 95032-4042 |
| Practice Telephone | 4084341839 |
| Mailing Telephone | 6788303010 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 78880 | 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 |
4110 N 1ST ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95134-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508112574 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 4110 N 1st St, San Jose, CA 95134-1513 | 2012-07-27 |
| 1356980742 | Thu Trung Nguyen | Pharmacist | 4110 N 1st St, San Jose, CA 95134-1513 | 2020-01-02 |
| 1831753342 | Loan Ngoc Nguyen | Pharmacist | 4110 N 1st St, San Jose, CA 95134-1513 | 2019-04-30 |
| 1639625148 | Kayla Tran | Pharmacist | 4110 N 1st St, San Jose, CA 95134-1513 | 2016-08-25 |
| 1558796938 | Tiffany Chow | Pharmacist | 4110 N 1st St, San Jose, CA 95134-1513 | 2013-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013433945 | Jessica Roberson | Speech-Language Pathologist | 330 Crescent Village Circle, San Jose, CA 95134 | 2017-08-22 |
| 1407221948 | Bay Area Behavioral Group | Community/Behavioral Health | 4423 Fortran Court, #136, San Jose, CA 95134 | 2015-12-09 |
| 1891114500 | Adriane Jones | Occupational Therapist | 640 Epic Way, Apartment #271, San Jose, CA 95134 | 2014-04-09 |
| 1255758165 | Adam Moreno | Counselor | 2625 Zanker Rd., San Jose, CA 95134 | 2014-03-28 |
| 1972938801 | Claudine Lott | Family Medicine | 145 Nicholson Ln, San Jose, CA 95134 | 2013-09-11 |
| 1659611556 | 360 Degree Customer Inc | Early Intervention Provider Agency | 4423 Fortran Drive, # 114, San Jose, CA 95134 | 2013-03-01 |
| 1629392022 | Harrison James Kornfield | Surgery | 455 Navaro Way, #108, San Jose, CA 95134 | 2010-03-15 |
| 1538348008 | Roxanne F Ubana | Counselor | 4423 Fortran Ct Ste 136, San Jose, CA 95134 | 2007-10-31 |
| 1538351044 | William Lopez Robles | Counselor | 2625 Zanker Road, San Jose, CA 95134 | 2007-08-17 |
| 1881717296 | Chloe Chu | Dentist | 3720 N. First Street, Suite C, San Jose, CA 95134 | 2007-04-09 |
| Find all providers in zip 95134 | ||||
| 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 |
|---|---|---|---|---|
| 1831714427 | Camille Tran | Pharmacist | 2251 Bellington Ct, San Jose, CA 95138-2469 | 2020-06-10 |
| 1194340604 | Tan Vu | Pharmacist | 4643 Park Norton Pl, San Jose, CA 95136-2523 | 2020-06-10 |
| 1356970974 | Viet Quoc Bui | Pharmacist | 2451 S King Rd Ste A1, San Jose, CA 95122-2540 | 2020-04-06 |
| 1063041903 | Tam Minh To | Pharmacist | 307 Checkers Dr Apt 203, San Jose, CA 95133-2254 | 2020-04-03 |
| 1336777598 | Tina Marie Trinh | Pharmacist | 2707 Glen Loman Way, San Jose, CA 95148-4128 | 2020-03-31 |
| 1487285011 | Nanxi Tang | Pharmacist | 5517 Leigh Ave, San Jose, CA 95124-6128 | 2020-02-02 |
| 1609407410 | Kuan Pei Wu | Pharmacist | 2953 Leigh Ave, San Jose, CA 95124-1635 | 2020-01-30 |
| 1982243135 | Elizabeth Vo | Pharmacist | 3091 Mattos Ave, San Jose, CA 95132-1741 | 2020-01-04 |
| 1093354961 | Truong Thinh Le Thiem | Pharmacist | 1275 Cathay Dr, San Jose, CA 95122-1906 | 2019-12-24 |
| 1306484811 | Tiana Truong | Pharmacist | 2955 Senter Rd Ste 55, San Jose, CA 95111-1200 | 2019-12-16 |
| Find all providers in SAN JOSE | ||||
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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.