JAE KI LEE (NPI# 1528667961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528667961 |
| Entity Type | Individual |
| Full Name | JAE KI LEE |
| Practice Address |
6650 N Beach St Fort Worth TX 76137-1801 |
| Practice Telephone | 8177881757 |
| Mailing Telephone | 8177881688 |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2020-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
57496 | TX | Pharmacy Service Providers |
| Street Address |
6650 N BEACH ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76137-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437222056 | Kroger Texas L P | Pharmacy | 6650 N Beach St, Fort Worth, TX 76137-1801 | 2006-11-15 |
| 1033733936 | Kevin Guilbeau | Pharmacist | 6650 N Beach St, Fort Worth, TX 76137-1801 | 2020-06-05 |
| 1609342856 | Dallas Dental Associates - Silver Sage Pllc | Dentist | 6650 N Beach St, Fort Worth, TX 76137-1801 | 2018-10-15 |
| 1932584133 | Silver Sage Molina Pllc | Dentist | 6650 N Beach St, Fort Worth, TX 76137-1801 | 2015-07-29 |
| 1184980237 | Silver Sage Family Dentistry, Pllc | Dentist | 6650 N Beach St, Ste. 111, Fort Worth, TX 76137-1801 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962975581 | Rose Kabera | Registered Nurse | 8021 Jolie Dr, Fort Worth, TX 76137 | 2019-01-07 |
| 1043786569 | Grace-marie Jones | Licensed Vocational Nurse | 5201 Endicott Avenue, Fort Worth, TX 76137 | 2018-10-23 |
| 1104327683 | Jeris Taylor | Registered Nurse | 4144 Heritage Way Dr, Fort Worth, TX 76137 | 2018-02-21 |
| 1396269429 | Matthew Pedroza | Dentist | 4625 Feathercrest Dr., Fort Worth, TX 76137 | 2017-07-31 |
| 1447789896 | Texas Surgical Ally | Physician Assistant | 6677 Friendsway Dr, Fort Worth, TX 76137 | 2017-06-08 |
| 1992249239 | Tracy Kirk Dds, Pllc | Dentist | 6300 N. Beach St, Ft Worth, TX 76137 | 2016-12-06 |
| 1992103295 | Keller Modern Dentistry and Orthodontics, PC | Dentist | 5701 N. Tarrant Pkwy, Suite 101, Fort Worth, TX 76137 | 2014-12-18 |
| 1619380805 | Ikids Pediatric Dentistry and Orthodontics Nfw | Dentist | 7451 N Beach St, Ste 140, Fort Worth, TX 76137 | 2014-06-05 |
| 1205246758 | Jack Milton Curlee Jr. | Counselor | 3629 Western Center Blvd., Suite 211, Fort Worth, TX 76137 | 2014-05-06 |
| 1932457363 | Milestone Dental of Keller, Pllc | Dentist | 5800 North Tarrant Parkway, Suite 102, Fort Worth, TX 76137 | 2012-08-15 |
| Find all providers in zip 76137 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598196446 | Cheryl Dawn Jorgenson | Pharmacist | 401 South Jim Wright Freeway, Suite 102, Fort Worth, TX 76108 | 2013-12-03 |
| 1669810586 | Ralph Winston Jr. | Pharmacist | 3513 Welsh Ct, Fort Worth, TX 76244-9473 | 2013-06-13 |
| 1356640049 | Gregory W Gossman | Pharmacist | 3921 Hwy 377 South, Fort Worth, TX 76116 | 2011-03-21 |
| 1053919555 | Chad Weissinger | Pharmacist | 3300 Texas Sage Trl, Fort Worth, TX 76177-8600 | 2020-10-15 |
| 1104437466 | Coy Johnson | Pharmacist | 3300 Texas Sage Trl, Fort Worth, TX 76177-8600 | 2020-08-11 |
| 1053929901 | Brenton C Hall | Pharmacist | 1500 S Main St, Fort Worth, TX 76104-4941 | 2020-07-16 |
| 1033733936 | Kevin Guilbeau | Pharmacist | 6650 N Beach St, Fort Worth, TX 76137-1801 | 2020-06-05 |
| 1699306282 | Phung Trinh | Pharmacist | 9114 Camp Bowie West Blvd, Fort Worth, TX 76116-6023 | 2020-01-31 |
| 1215567961 | Christopher Lowe | Pharmacist | 3510 Altamesa Blvd, Fort Worth, TX 76133-5602 | 2020-01-22 |
| 1821628769 | Tausha Reeves | Pharmacist | 4750 W Bailey Boswell Rd, Fort Worth, TX 76179-4321 | 2020-01-20 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76137 |
Please comment or provide details below to improve the information on JAE KI LEE.
| 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.