KYOUNG MI LEE (NPI# 1083925341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083925341 |
| Entity Type | Individual |
| Full Name | KYOUNG MI LEE |
| Practice Address |
4220 Wheaton Way Bremerton WA 98310-3604 |
| Practice Telephone | 2535098810 |
| Mailing Telephone | 2535098810 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 26023085A | IN | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RPH03329197 | OH | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PH60077511 | WA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | AETNA | W178911739 | 01 |
| Street Address |
4220 WHEATON WAY |
| City | BREMERTON |
| State | WA |
| Zip Code | 98310-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770865347 | Kelly Barnett | Pharmacist | 4220 Wheaton Way, Bremerton, WA 98310-3604 | 2011-09-09 |
| 1780976530 | Lacey Jean Jackson | Pharmacist | 4220 Wheaton Way, Bremerton, WA 98310-3604 | 2011-05-12 |
| 1669581971 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 4220 Wheaton Way, Bremerton, WA 98310-3604 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333613 | Miss Mary Community Development | Voluntary or Charitable | 1630 Trenton Avenue Apt 10, Bremerton, WA 98310 | 2019-12-11 |
| 1629636055 | Puget Sound Work Injury Clinic, LLC | Clinic/Center | 812 Cherry Ct, Bremerton, WA 98310 | 2019-05-31 |
| 1538672530 | Rachel E Mittelstaedt Parsons | Dietitian, Registered | 3059 Viewcrest Dr Ne, Bremerton, WA 98310 | 2017-11-13 |
| 1356888937 | Sarah Hike | Community Health Worker | 900 Sheridan, Bremerton, WA 98310 | 2017-01-20 |
| 1073941142 | Hana Singer | Physical Therapy Assistant | 3600 Forest Dr Ne, Bremerton, WA 98310 | 2013-10-28 |
| 1447508122 | Kevin Lee Hathaway | Mechanotherapist | 3308 Veska Avenue, Bremerton, WA 98310 | 2012-08-28 |
| 1003163007 | James Hyun Soo Lee | Surgery | Cvn 76 Uss Ronald Reagan, Bremerton, WA 98310 | 2012-08-08 |
| 1487936241 | Karen S Casseday | Nurse Practitioner | 1740 Ne Riddell Rd Ste 110, Bremerton, WA 98310 | 2011-09-16 |
| 1740560572 | Lauren P Foresman | Physician Assistant | 2709 Hemlock Street, Bremerton, WA 98310 | 2011-08-24 |
| 1538390059 | Patricia L Rushon | Speech-Language Pathologist | 560 Lebo Blvd., Bremerton, WA 98310 | 2009-07-31 |
| Find all providers in zip 98310 | ||||
| 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 |
|---|---|---|---|---|
| 1225492291 | Indrajeetsinh Sarvaiya | Pharmacist | 124 Ne Miramar Cir, Bremerton, WA 98311-8502 | 2016-04-06 |
| 1225405251 | Josiah Soto | Pharmacist | 8507 Bender Cir Ne, Bremerton, WA 98311-8824 | 2015-08-25 |
| 1972841443 | David Dragovich | Pharmacist | 5050 St Hwy 303 Ne, Bremerton, WA 98311-3629 | 2013-01-17 |
| 1437478492 | Jamie Lynn Robinson | Pharmacist | 3955 Ne Campus Ln, Bremerton, WA 98311-9424 | 2010-05-28 |
| 1174846323 | Amy Killoran | Pharmacist | 6797 St Hwy 303 Ne, Bremerton, WA 98311-3736 | 2010-03-02 |
| 1174742084 | Tonya M Vance | Pharmacist | 2900 Wheaton Way, Bremerton, WA 98310-3452 | 2007-04-25 |
| 1366472656 | Toni Leyba | Pharmacist | 400 Warren Ave Ste 300, Bremerton, WA 98337-1408 | 2006-07-03 |
| 1700858271 | Derrik Richard Clay | Pharmacist | Naval Hospital Code 053, Hp-01 Boone Rd, Bremerton, WA 98312-1898 | 2006-02-07 |
| 1821060021 | Brian C Avery | Pharmacist | Hp-01 Boone Rd #053, Bremerton, WA 98312 | 2006-02-02 |
| 1770553570 | Garyn Fredrick Shuler | Pharmacist | Boone Rd, Naval Hospital Bremerton, Bremerton, WA 98312 | 2006-01-24 |
| Find all providers in BREMERTON | ||||
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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.