Jisoo Lee
NPI 1043867963ActiveIndividual· Pharmacist· Ukiah, CA
Pharmacist in Ukiah, California, licensed in CA, with an NPI issued in August 2019. Part D covered 92 prescriptions written in 2024, 0% of them generic.
Overview
| NPI | 1043867963 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 26, 2019 |
| Last updated in NPPES | Dec 13, 2019 |
| Certified by provider | Dec 13, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 81661 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 92 · 92 30-day fills |
|---|---|
| Patients | 90 |
| Total drug cost | $21,378 |
| Generic share | 0% of claims |
Other Pharmacist providers in Ukiah
- 1033452149
- 1225449770
- 1679946446
- 1376310243
- 1831908029
- 1528437183
- 1740896026
- 1013497411
- 1124416441
- 1851856710
- 1962165902
- 1730470030