DR. JACK JENCHIEH LEE (NPI# 1447673751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447673751 |
| Entity Type | Individual |
| Full Name | DR. JACK JENCHIEH LEE |
| Practice Address |
2900 S Pacific Ave Yuma AZ 85365-3500 |
| Practice Telephone | 9283411288 |
| Practice Fax Number | 9283410546 |
| Mailing Telephone | 9283411288 |
| Mailing Fax Number | 9283410546 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S015990 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518985886 | Jack I Lee | Dentist | 961 N Milliken Ave Ste 103, Ontario, CA 91764-5022 | 2006-07-17 |
| 1669954749 | Jack Lee | Psychologist | 465 Grand St Fl 2, New York, NY 10002-4800 | 2018-09-05 |
| 1538653217 | Jack Lee | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Charlottesville, VA 22908-5400 | 2018-06-18 |
| 1083675318 | Jack Lee | Specialist | 245 Union Ave, 2c, Bridgewater, NJ 08807-3064 | 2006-03-28 |
| Street Address |
2900 S PACIFIC AVE |
| City | YUMA |
| State | AZ |
| Zip Code | 85365-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609893817 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2900 S Pacific Ave, Yuma, AZ 85365-3500 | 2006-07-16 |
| 1568060408 | Kate Van-hassel | Pharmacist | 2900 S Pacific Ave, Yuma, AZ 85365-3500 | 2020-10-13 |
| 1629584339 | Arian Harris | Pharmacist | 2900 S Pacific Ave, Yuma, AZ 85365-3500 | 2017-12-18 |
| 1699170779 | Janine Koppinger | Pharmacist | 2900 S Pacific Ave, Yuma, AZ 85365-3500 | 2014-10-31 |
| 1295873453 | Paul H Vernon | Optometrist | 2900 S Pacific Ave, Yuma, AZ 85365-3500 | 2007-02-01 |
| 1215010855 | Walmart Stores, Inc. | Technician/Technologist | 2900 S Pacific Ave, Yuma, AZ 85365-3500 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369730 | Green Mountain Wellness | Acupuncturist | 1059 N College Avenue, Po, Thatcher, AZ 85365 | 2020-09-03 |
| 1326695545 | Lifecare Pharmacy Yuma LLC | Pharmacy | 2514 South Ave A, Suite 2, Yuma, AZ 85365 | 2019-08-22 |
| 1205492162 | Deborah Woodard-williams | Dentist | Arizona State Prison Complex-yuma, 7125 Juan Sanchez Blvd, Yuma, AZ 85365 | 2019-05-16 |
| 1467973974 | Alejandra Ruiz Pureco | Specialist/Technologist | 4039 Scedar Avenue, Yuma, AZ 85365 | 2017-07-06 |
| 1003298571 | Evan Jonathan Wilson | Military Health Care Provider | 2989 East Arow St, Yuma, AZ 85365 | 2015-06-22 |
| 1578901385 | Robert Field | General Practice | Mawts-1 Medical, Mcas, Box 99117, Yuma, AZ 85365 | 2013-06-13 |
| 1821381286 | Jason T. Lemmon Dds, P.C. | Dentist | 3325 S. Ave 8.e., Suite 4, Yuma, AZ 85365 | 2011-05-18 |
| 1821328113 | Community Bridges, Inc | Community/Behavioral Health | 3250 B East 40th Street, Yuma, AZ 85365 | 2010-01-08 |
| 1871752352 | Jason Thomas Lemmon | Dentist | 3325 S. Ave 8e, Suite 4, Yuma, AZ 85365 | 2008-06-09 |
| 1619149143 | Amber Grace Tagg | Occupational Therapist | 10067 South Ave., 10e #46, Yuma, AZ 85365 | 2008-03-25 |
| Find all providers in zip 85365 | ||||
| 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 |
|---|---|---|---|---|
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1225425648 | Carolyn Schussman | Pharmacist | 2501 S Ave B, Yuma, AZ 85364-7734 | 2015-04-23 |
| 1821402553 | Abdul Rehman | Pharmacist | 11203 S Frontage Rd, Yuma, AZ 85367-7875 | 2014-06-20 |
| 1083026231 | Cvs Pharmacy | Pharmacist | 11464 S Fortuna Rd, Yuma, AZ 85367 | 2014-05-22 |
| 1700209988 | Robert Letendre | Pharmacist | 24 W Rio Colorado Dr Lot 4, Yuma, AZ 85365-4101 | 2014-01-24 |
| 1033542089 | Olayemi Falowo | Pharmacist | 4844 W 28th Ln, Yuma, AZ 85364-9815 | 2013-08-14 |
| 1013288513 | Matin Ghafuri | Pharmacist | 1450 S Yuma Palms Pkwy, T2083, Yuma, AZ 85365-1707 | 2012-01-16 |
| 1568731016 | Matthew R Nunes | Pharmacist | 11203 E South Frontage Rd, Yuma, AZ 85367 | 2011-12-28 |
| 1720319684 | Eswar Reddy Masireddy | Pharmacist | 2081 S 4th Ave, 28th St, Yuma, AZ 85364 | 2010-01-15 |
| 1568671451 | Olugbenga Solomon Oduyale | Pharmacist | 2209 E 27th St, Yuma, AZ 85365-3274 | 2007-05-21 |
| Find all providers in YUMA | ||||
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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.