JACKSON LEE (NPI# 1922656438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922656438 |
| Entity Type | Individual |
| Full Name | JACKSON LEE |
| Practice Address |
4235 Main St Ste 1l Flushing NY 11355-3957 |
| Practice Telephone | 7188786999 |
| Mailing Telephone | 7188786999 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 065843 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689050684 | Jackson Lee | Chiropractor | 1440 Arcade St Ste C, Saint Paul, MN 55106-1830 | 2015-08-03 |
| 1518247048 | Jackson Y Lee | Pharmacist | 4954 Calida Dr, San Jose, CA 95136-2812 | 2011-08-29 |
| 1669527289 | Jackson Lee | Orthopaedic Surgery | 1520 San Pablo St, 2000, Los Angeles, CA 90033-5310 | 2007-01-24 |
| 1316018211 | Jackson K. Lee | Pediatrics | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-13 |
| Street Address |
4235 MAIN ST STE 1L |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212567 | Yuk Lam | Pharmacist | 4235 Main St Ste 1l, Flushing, NY 11355-3957 | 2019-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
| Find all providers in zip 11355 | ||||
| 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 |
|---|---|---|---|---|
| 1588272496 | Sojeung Park | Pharmacist | 19406 Northern Blvd, Flushing, NY 11358-3033 | 2020-07-16 |
| 1952949463 | Leonid Aminov | Pharmacist | 14743 76th Rd, Flushing, NY 11367-3121 | 2019-12-16 |
| 1144867839 | Chinida Gulkarova | Pharmacist | 14716 77th Rd, Flushing, NY 11367-3429 | 2019-12-02 |
| 1578109278 | Justin Lai | Pharmacist | 13314 41st Rd, Flushing, NY 11355-3791 | 2019-11-18 |
| 1922641638 | Hasibullah Mir | Pharmacist | 7522 Parsons Blvd Apt B3, Flushing, NY 11366-1014 | 2019-10-25 |
| 1093356735 | Huiling Zhang | Pharmacist | 14725 Northern Blvd Apt 1x, Flushing, NY 11354-4324 | 2019-10-03 |
| 1043860018 | Min Shi | Pharmacist | 4173 Bowne St, Flushing, NY 11355-2642 | 2019-09-12 |
| 1578111555 | Ji In Kang | Pharmacist | 3566 164th St, Flushing, NY 11358-1719 | 2019-09-03 |
| 1932760170 | Sami Al Hossain | Pharmacist | 7263 Kissena Blvd Ste 4, Flushing, NY 11367-2780 | 2019-06-27 |
| 1649834334 | Jung Eun Song | Pharmacist | 15917 Northern Blvd, Flushing, NY 11358-1636 | 2019-04-28 |
| Find all providers in FLUSHING | ||||
Please comment or provide details below to improve the information on JACKSON 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.