Mr Jae Lee, PHARMD is a
Pharmacist based in Bayside, New York. Mr Jae Lee is licensed to practice in New York (license number 052390-1) and his current practice location is
4329 209th St # B, Bayside, New York. He can be reached at his office (for appointments etc.) via phone at
(917) 444-1145.
NPI number for Mr Jae Lee is 1457508889 and his current mailing address is 4329 209th St # B, Bayside, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457508889.
Healthcare Provider's Profile
| Full Name | Mr Jae Lee |
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| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 4329 209th St # B, Bayside, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457508889
- Provider Enumeration Date: 08/27/2008
- Last Update Date: 08/19/2025
Medical Identifiers
Medical identifiers for Mr Jae Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457508889 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 004064-1 (New York) | Secondary |
| 183500000X | Pharmacist | 052390-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jae Lee is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jae Lee, PHARMD
4329 209th St # B,
Bayside, NY 11361-2761
Ph: (917) 444-1145 | Mr Jae Lee, PHARMD
4329 209th St # B,
Bayside, NY 11361-2761
Ph: (917) 444-1145 |
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