Skip to content

Jae Sung Lee

NPI 1457672248ActiveIndividual· Pharmacist· Garden Grove, CA

Pharmacist in Garden Grove, California, licensed in CA, with an NPI issued in June 2010. Part D covered 94 prescriptions written in 2024, 0% of them generic.

Overview

NPI1457672248
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJun 16, 2010
Last updated in NPPESJun 16, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XRPH51483CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No 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)94 · 94 30-day fills
Patients76
Total drug cost$21,573
Generic share0% of claims

Medicare sources and data years

Other pharmacists in Garden Grove

All 223 pharmacists in Garden Grove · All pharmacists in California