Jin Ki Lee, PharmD
Pharmacist in Edgewood, MD. Individual provider (NPI-1).
NPI number1467798264
StatusActive
Last updated in NPPESDec 26, 2012
Details
- NPI
- 1467798264
- Entity type
- Individual (NPI-1)
- Name
- Jin Ki Lee
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 26, 2012
- Last updated
- Dec 26, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 20774 | MD | Yes |
| 183500000X | Pharmacist | 0202211822 | VA |
Practice location
1930 Pulaski HwyEdgewood, MD 21040-1612
Phone 410-671-6568
Mailing address
1930 Pulaski HwyEdgewood, MD 21040-1612
Phone 410-671-6568
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