Look up the most recent NPI and PECOS records

Kevin Y Lee

Pharmacist

Pharmacy Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Kevin Y Lee does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1750538542
Provider Type
Individual
Full Name
Lee, Kevin Y
Title
Mr.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/22/2008
Last Updated
7/21/2022

Contact Information

Practice Location

617 W 181st St, New York, NY 10033-4937

(212) 923-6912

(212) 923-6934

Mailing Location

208 Madison Ave, River Edge, NJ 07661-1310

(917) 648-1242

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 046379 New York

Provider Identifiers

ID	Description	Issuer
ID 046379	Description Other	Issuer NY STATE PHARMACIST LICENSE NUMBERS New York

Kevin Y Lee

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Amin, Dipak P

Biraj Pharmacy Corp

Dondapati, Rajyalakshmi

Perez, Edwin

Simkin, Julia

Kronis, Alex

Edavalapati, Srinivasa Rao

Manoharan, Arumugam

Elsayed, Omar Adnan Ahmed Bekhit

Laliwala, Jayesh