DEREK DONGSUK LEE (NPI# 1891273173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891273173 |
| Entity Type | Individual |
| Full Name | DEREK DONGSUK LEE |
| Credential | PHARM.D. |
| Practice Address |
705 E Mcdowell Rd Pharmacy Phoenix AZ 85006-2519 |
| Mailing Address |
7716 S Terrace Rd Tempe AZ 85284-1559 |
| Practice Telephone | 6022584865 |
| Mailing Telephone | 6178949984 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S023350 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396116596 | Derek Lee | Physical Therapist | 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703-4796 | 2015-10-13 |
| 1790042083 | Derek Lee | Radiologic Technologist | 28322 N 223rd Ln, Wittmann, AZ 85361-8780 | 2012-04-12 |
| 1205090503 | Derek L Lee | Dentist | 17 E Hospital St, Manning, SC 29102-3152 | 2008-07-15 |
| 1083235386 | Derek Lee | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2020-04-28 |
| 1962045849 | Derek Chalmer Lee | Counselor | 3171 N Meridian St, Indianapolis, IN 46208-4784 | 2019-10-23 |
| 1073083549 | Derek Lee | Physical Therapist | 143 E 34th St, New York, NY 10016-4713 | 2018-11-27 |
| 1639667553 | Derek Justin Lee | Student in an Organized Health Care Education/Training Program | 90 S Main St, Middletown, CT 06457-3649 | 2018-04-26 |
| 1336636273 | Derek Lee | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2059 | 2018-04-17 |
| 1831619766 | Derek Lee | Counselor | 100 Asma Blvd Ste 200, Lafayette, LA 70508-3868 | 2017-06-21 |
| 1801335757 | Derek Timothy Lee | Pharmacist | 20940 Burbank Blvd, Woodland Hills, CA 91367-6601 | 2017-02-13 |
| Street Address |
705 E MCDOWELL RD PHARMACY |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356356604 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 705 E Mcdowell Rd, Phoenix, AZ 85006-2519 | 2006-07-29 |
| 1518519008 | Tracey Tang | Pharmacist | 705 E Mcdowell Rd, Phoenix, AZ 85006-2519 | 2019-07-15 |
| 1083130959 | Meghan Sue Arquette | Pharmacist | 705 E Mcdowell Rd, Phoenix, AZ 85006-2519 | 2017-08-22 |
| 1871993030 | Robert O'neill | Pharmacist | 705 E Mcdowell Rd, Phoenix, AZ 85006-2519 | 2014-08-25 |
| 1619256286 | Jacob Dallas | Pharmacist | 705 E Mcdowell Rd, Phoenix, AZ 85006-2519 | 2011-08-12 |
| 1689981037 | Kimberly Renee Miller | Pharmacist | 705 E Mcdowell Rd, Phoenix, AZ 85006-2519 | 2010-09-07 |
| 1457681603 | Brandon Lambrecht | Pharmacist | 705 E Mcdowell Rd, Phoenix, AZ 85006-2519 | 2010-01-12 |
| 1942530290 | Christopher James Chavez | Pharmacist | 705 E Mcdowell Rd, Phoenix, AZ 85006-2519 | 2010-01-09 |
| 1679771612 | Jennifer M Davis | Pharmacist | 705 E Mcdowell Rd, Phoenix, AZ 85006-2519 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| 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 |
|---|---|---|---|---|
| 1386243848 | Stephen Praissman | Pharmacist | 3101 E Claremont Ave, Phoenix, AZ 85016-2361 | 2020-10-25 |
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
| 1689288037 | Akeel Daher | Pharmacist | 28635 N N Vly Pkwy, Phoenix, AZ 85085-5434 | 2020-09-03 |
| 1295346401 | Ann Michelle Mason | Pharmacist | 1511 E Renee Dr, Phoenix, AZ 85024-2973 | 2020-08-11 |
| 1053921767 | Vera Benson | Pharmacist | 1219 E Villa Maria Dr, Phoenix, AZ 85022-1222 | 2020-08-06 |
| 1154947133 | Justin Gerard Spicer | Pharmacist | 1 E Lexington Ave, Phoenix, AZ 85012-2433 | 2020-06-24 |
| 1518582501 | Davita D Lewis | Pharmacist | 2532 W Peoria Ave, Phoenix, AZ 85029-4709 | 2020-06-15 |
| 1518582683 | Thomas Komlos | Pharmacist | 18224 N Clemmer Ln, Phoenix, AZ 85022-1306 | 2020-06-14 |
| 1063037554 | Chezka Mae Largosa Baker | Pharmacist | 800 N Central Ave Apt 1218, Phoenix, AZ 85004-2777 | 2020-06-10 |
| Find all providers in PHOENIX | ||||
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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.