JACLYN LEE (NPI# 1134782600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134782600 |
| Entity Type | Individual |
| Full Name | JACLYN LEE |
| Practice Address |
480 S Main St Orange CA 92868-3836 |
| Practice Telephone | 7149381200 |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 78266 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992826135 | Jaclyn Young Lee | Pharmacist | 2063 State Route 38r, St. Charles, IL 60174 | 2007-04-03 |
| 1659610004 | Jaclyn Elise Lee | Pharmacist | 3333 Burnet Ave, Ml 2003, Cincinnati, OH 45229-3026 | 2013-02-05 |
| 1205186293 | Jaclyn L Lee | Substance Abuse Rehabilitation Facility | 501 Fredonia St, Muskogee, OK 74403-3330 | 2012-09-17 |
| Street Address |
480 S MAIN ST |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013951367 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 480 S Main St, Orange, CA 92868-3836 | 2006-06-16 |
| 1417597055 | Truyen Katelyn Nguyen | Pharmacist | 480 S Main St, Orange, CA 92868-3836 | 2020-01-12 |
| 1346888914 | Justine Nguyen | Pharmacist | 480 S Main St, Orange, CA 92868-3836 | 2019-12-13 |
| 1134785645 | Jeffrey A Jenkins | Pharmacist | 480 S Main St, Orange, CA 92868-3836 | 2019-05-10 |
| 1881250371 | Vinh Phan | Pharmacist | 480 S Main St, Orange, CA 92868-3836 | 2019-05-10 |
| 1114582723 | Janice Ko | Pharmacy | 480 S Main St, Orange, CA 92868-3836 | 2019-05-08 |
| 1215413489 | Masoud Farand | Hearing Instrument Specialist | 480 S Main St, Orange, CA 92868-3836 | 2018-07-11 |
| 1144716820 | Rheana Peltier | Hearing Instrument Specialist | 480 S Main St, Orange, CA 92868-3836 | 2018-07-06 |
| 1245749183 | John Martin | Hearing Instrument Specialist | 480 S Main St, Orange, CA 92868-3836 | 2017-09-22 |
| 1659892198 | Bonnie Jean Teng | Pharmacist | 480 S Main St, Orange, CA 92868-3836 | 2017-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| 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 |
|---|---|---|---|---|
| 1013514314 | Ali Shishehgar | Pharmacist | 132 S Anita Dr Ste 310, Orange, CA 92868-3317 | 2020-10-08 |
| 1184221822 | Amando Cruz Martin Jr. | Pharmacist | 132 S Anita Dr Fl 2, Orange, CA 92868-3317 | 2020-10-06 |
| 1205433810 | Tony Hieu La | Pharmacist | 132 S Anita Dr Ste 210, Orange, CA 92868-3317 | 2020-10-06 |
| 1487261038 | Johnny Brooks Tune Jr. | Pharmacist | 130 W. Main St, Orange, VA 22960 | 2020-09-28 |
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1528539442 | Brian Chau | Pharmacist | 1538 E. Chapman Ave, Orange, CA 92866 | 2018-12-17 |
| 1578033783 | Yousef Samir Billeh | Pharmacist | 705 E Vista Del Playa Ave, Orange, CA 92865-3437 | 2018-11-30 |
| 1790263309 | Bhuvaneswari Potti | Pharmacist | E & M Pharmacy, 205 S Essex Ave, Orange, NJ 07050 | 2018-08-06 |
| 1114415866 | Stephanie Kim | Pharmacist | 8312 E Hillsdale Dr, Orange, CA 92869-2445 | 2018-04-27 |
| Find all providers in ORANGE | ||||
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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.