JESSICA LEE (NPI# 1679937395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679937395 |
| Entity Type | Individual |
| Full Name | JESSICA LEE |
| Practice Address |
1451 Shattuck Ave Berkeley CA 94709-1410 |
| Practice Telephone | 5108490484 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 66726 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376164053 | Jessica Victoria Lee | Student in an Organized Health Care Education/Training Program | 4014 Beechwood Dr, Norman, OK 73072-5015 | 2020-05-04 |
| 1326687849 | Jessica Marie Lee | Licensed Practical Nurse | 12601 Gruss Ave, Cleveland, OH 44108-1742 | 2019-12-31 |
| 1366098683 | Jessica S Lee | Chiropractor | 625 Crown Pointe Dr Ste 106, Rock Hill, SC 29730-5192 | 2019-08-13 |
| 1316424211 | Jessica Nicole Lee | Family Medicine | 2622 Palmyra St, New Orleans, LA 70119-6430 | 2018-07-24 |
| 1699266601 | Jessica Ivy Lee | Acupuncturist | 3801 Magee Ave, Oakland, CA 94619-1452 | 2018-05-24 |
| 1790208403 | Jessica S Lee | Early Intervention Provider Agency | 985 Intervale Ave Apt. 2c, Bronx, NY 10459 | 2017-07-25 |
| 1033560164 | Jessica Lee | Dentist | 5080 Virginia Pkwy Ste 100, Mckinney, TX 75071-5600 | 2016-06-30 |
| 1528432804 | Jessica Lee | Registered Nurse | 1423 Barford Ave, Hacienda Heights, CA 91745-2903 | 2015-11-24 |
| 1699166181 | Jessica Lee | Student in an Organized Health Care Education/Training Program | 1438 Ribier Dr., Escalon, CA 95320 | 2015-02-05 |
| 1477960532 | Jessica Lee | Nurse's Aide | 16 Mahogany Dr, North East, MD 21901-3616 | 2014-07-21 |
| Street Address |
1451 SHATTUCK AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94709-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528001799 | Longs Drug Stores California LLC | Pharmacy | 1451 Shattuck Ave, Berkeley, CA 94709-1410 | 2006-06-14 |
| 1275143851 | Brian Ortega | Pharmacist | 1451 Shattuck Ave, Berkeley, CA 94709-1410 | 2020-08-07 |
| 1770148504 | Gurpreet Kaur Srai | Pharmacist | 1451 Shattuck Ave, Berkeley, CA 94709-1410 | 2019-05-07 |
| 1437699295 | Cvs Aoc Services, L.L.C. | Audiologist | 1451 Shattuck Ave, Berkeley, CA 94709-1410 | 2017-02-27 |
| 1174877294 | Daniel James Gibbons | Audiologist | 1451 Shattuck Ave, Berkeley, CA 94709-1410 | 2012-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868647 | Komalpreet Kaur | Pharmacist | 1444 Shattuck Place, Berkeley, CA 94709 | 2019-12-16 |
| 1689189763 | Lynn Rubin | Marriage & Family Therapist | 1524 Henry St., Berkeley, CA 94709 | 2017-12-11 |
| 1750825154 | Stacy Taniguchi | Psychologist | 2000 Hearst Ave Ste 207, Berkeley, CA 94709 | 2016-12-05 |
| 1558804708 | Tylynn Ludwig | Dietitian, Registered | 1525 Shattuck Ave Ste G, Berkeley, CA 94709 | 2016-11-21 |
| 1528316171 | Leeat Zwick-louvton | Physical Therapist | 2209 Glen Ave, Berkeley, CA 94709 | 2012-08-29 |
| 1497016588 | City of Berkeley | Case Management | 1901 Hearst Street, Berkeley, CA 94709 | 2012-06-05 |
| 1841591914 | Dana Carr | Psychologist | 1078 Shattuck Avenue, #6, Berkeley, CA 94709 | 2010-11-05 |
| 1568639565 | Harry Joseph Lieberman | Marriage & Family Therapist | 1933 Rose St, Berkeley, CA 94709 | 2008-05-09 |
| 1780806935 | Martha W Knobler | Marriage & Family Therapist | 2045 Francisco Street, Berkeley, CA 94709 | 2007-05-03 |
| 1578690830 | Alice H Brown | Counselor | 1607 Walnut Street # One, Berkeley, CA 94709 | 2007-02-27 |
| Find all providers in zip 94709 | ||||
| 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 |
|---|---|---|---|---|
| 1144868647 | Komalpreet Kaur | Pharmacist | 1444 Shattuck Place, Berkeley, CA 94709 | 2019-12-16 |
| 1861043424 | Cayla Christine Slaughter | Pharmacist | 4441 Brown Rd, Berkeley, MO 63134-3405 | 2019-09-25 |
| 1790293389 | Nga Thien Ho | Pharmacist | 1500 Gilman St, Berkeley, CA 94710 | 2018-01-17 |
| 1437668464 | Raven Forrest | Pharmacist | 8640 Evans Ave, Berkeley, MO 63134-2903 | 2017-09-21 |
| 1578084067 | Kwun Lum | Pharmacist | 2222 Bancroft Way Ste 1115, Berkeley, CA 94720-4301 | 2017-07-05 |
| 1578014304 | Andy Wong | Pharmacist | 2001 Dwight Way Ste 2182, Berkeley, CA 94704-2608 | 2016-10-17 |
| 1750742011 | Prashant Patel | Pharmacist | 2915 Telegraph Ave # 100, Berkeley, CA 94705-2060 | 2016-03-15 |
| 1720487077 | Robin Jung | Pharmacist | 2818 Telegraph Ave, #22, Berkeley, CA 94705-1152 | 2014-08-21 |
| 1417361692 | Leslie Carstensen Floren | Pharmacist | 889 Santa Barbara Rd, Berkeley, CA 94707-2017 | 2014-06-16 |
| 1104197664 | Nadia C Hughes | Pharmacist | 1228 N Irving Ave, Berkeley, IL 60163-1130 | 2012-01-14 |
| Find all providers in BERKELEY | ||||
Please comment or provide details below to improve the information on JESSICA 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.