DR. JIMMY LEE (NPI# 1548241193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548241193 |
| Entity Type | Individual |
| Full Name | DR. JIMMY LEE |
| Credential | BS, MBA, PHARMD |
| Practice Address |
3851 Roger Brooke Dr Fort Sam Houston TX 78234-4501 |
| Mailing Address |
14006 Cougar Point San Antonio TX 78230-5924 |
| Practice Telephone | 2109164682 |
| Practice Fax Number | 2109163481 |
| Mailing Telephone | 2109164682 |
| Mailing Fax Number | 2109163481 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 27921 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023047347 | Jimmy Lee | Podiatrist | 624 W Duarte Rd Ste 105, Arcadia, CA 91007-9256 | 2006-06-30 |
| 1750328894 | Jimmy Yuen Hing Lee | Physician Assistant | 25-10 30th Ave, Mount Sinai Hospital of Queens, Long Island City, NY 11102-2495 | 2006-05-31 |
| 1447574686 | Jimmy Lee Jr. | Pharmacist | 1620 Century Center Pkwy, Suite 101, Memphis, TN 38134-0181 | 2010-03-17 |
| 1073795373 | Jimmy Sheng-i Lee | Radiology | 111 E 210th St, Bronx, NY 10467-2401 | 2007-11-29 |
| 1306045802 | Jimmy Kyung Lee | Ophthalmology | 3332 Rochambeau Ave Fl 3, Bronx, NY 10467-2836 | 2007-07-13 |
| 1215146360 | Jimmy Ang Lee | Case Manager/Care Coordinator | 310 8th St Ste 201, Oakland, CA 94607-6527 | 2007-05-22 |
| 1750424339 | Jimmy Lee | Optometrist | 625 W College St, Suite 102, Los Angeles, CA 90012-1675 | 2007-02-14 |
| 1104815547 | Jimmy W.c. Lee | Otolaryngology | 21216 Northwest Freeway, Ste 310, Cypress, TX 77429-4698 | 2005-10-18 |
| Street Address |
3851 ROGER BROOKE DR |
| City | FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903931 | Doreen M. Lounsbery | Internal Medicine | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2005-06-23 |
| 1821561853 | Jessica Dolan | Dietitian, Registered | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2019-01-02 |
| 1851842306 | Michael Stablein | Student in an Organized Health Care Education/Training Program | 3851 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4501 | 2016-10-19 |
| 1588114078 | Daniel Hamilton | Optometrist | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2016-10-07 |
| 1932657756 | Erica Russell | Physical Therapist | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2016-09-21 |
| 1437502887 | Glenn Wayne Brietzke Jr. | Dietitian, Registered | 3851 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4501 | 2016-07-21 |
| 1023483013 | Christine Setty | Student in an Organized Health Care Education/Training Program | 3851 Roger Brooke Dr, Mcheqd, Fort Sam Houston, TX 78234-4501 | 2015-12-02 |
| 1487024642 | Deserae Gonzalez | Social Worker | 3851 Roger Brooke Dr, Bamc Mche-qd (creds), Fort Sam Houston, TX 78234-4501 | 2015-09-30 |
| 1871969014 | Antoine Williams II | Registered Nurse | 3851 Roger Brooke Dr, San Antonio Military Medcial Center, Fort Sam Houston, TX 78234-4501 | 2015-08-11 |
| 1033503990 | Eldon Snyder | General Practice | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 | 2015-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| 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 |
|---|---|---|---|---|
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1336366814 | Johnny Jay Splawn | Pharmacist | Building 3600, 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-6200 | 2007-04-19 |
| 1760533343 | Kevin Wade Tiller | Pharmacist | 2450 Stanley Rd Ste 208, Fort Sam Houston, TX 78234-6102 | 2007-01-12 |
| 1730150426 | Kimberly Dawn Parker | Pharmacist | 3851 Roger Brooke Drive #3600, Brooke Army Medical Center, Fort Sam Houston, TX 78234 | 2006-01-30 |
| 1164021580 | William Edward Vick | Pharmacist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-10-19 |
| 1548868003 | Julia D Coffey | Pharmacist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-10-15 |
| 1184230955 | Cheryl Lynn Soboleski | Pharmacist | 3100 Schofield Rd Bldg 1179, Fort Sam Houston, TX 78234-7577 | 2020-09-17 |
| 1033722509 | Kody Vallejo | Pharmacist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-08-25 |
| 1427667872 | Jacqueline Irene Hobbs | Pharmacist | 3100 Schofield Rd, Fort Sam Houston, TX 78234-7577 | 2020-07-30 |
| 1902415367 | Hannah Daniel | Pharmacist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-07-30 |
| Find all providers in FORT SAM HOUSTON | ||||
| City | FORT SAM HOUSTON |
| Zip Code | 78234 |
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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.