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Dr. Jae Lee , PharmD

Pharmacist β€’ Bayside, NY

Active NPI 1457508889 Individual Practitioner Male Practitioner
Practice location in NPPES

4329 209th St # B
Bayside, NY 113612761

Call 9174441145 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4329 209th St # B

Bayside, NY 113612761

Telephone 9174441145
Fax 6466076699
Organization at the Same NPPES Address or Phone
Dongne Pharmacy Inc Facility NPI 1174479216

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bayside and New York

101 active clinicians are listed under Pharmacist with a practice address in Bayside, NY (22,966 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bayside

0% of these 101 clinicians have the CMS telehealth indicator.

0% of these 101 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-19
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES NY 052390-1

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Acupuncturist

NUCC Taxonomy Code: 171100000X

License # reported to NPPES NY 004064-1

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

20 Historical Events
πŸ“
Updated Practice Location August 19, 2025

Registered at 4329 209TH ST # B, BAYSIDE, NY 113612761 (Tel: 9174441145)

πŸ“
Updated Business Mailing Address August 19, 2025

Registered at 4329 209TH ST # B, BAYSIDE, NY 113612761 (Tel: 9174441145)

πŸ“
Updated Practice Location May 22, 2025

Registered at 595 E TREMONT AVE, BRONX, NY 104574727 (Tel: 7184661122)

πŸ“
Updated Business Mailing Address May 22, 2025

Registered at 595 E TREMONT AVE, BRONX, NY 104574727

πŸ“
Updated Practice Location March 22, 2023

Registered at 8215 ROOSEVELT AVE, JACKSON HEIGHTS, NY 113727034 (Tel: 7188987777)

πŸ“
Updated Business Mailing Address March 22, 2023

Registered at 8215 ROOSEVELT AVE, JACKSON HEIGHTS, NY 113727034 (Tel: 7188987777)

πŸ“
Updated Practice Location October 25, 2019

Registered at 10111 ROOSEVELT AVE APT 1, CORONA, NY 113684863 (Tel: 7187796600)

πŸ“
Updated Practice Location July 17, 2018

Registered at 1101 FLATBUSH AVE, BROOKLYN, NY 11226 (Tel: 9176837630)

πŸ“
Updated Business Mailing Address July 17, 2018

Registered at 1101 FLATBUSH AVE, BROOKLYN, NY 112266141 (Tel: 9176837630)

βœ…
NPI Profile Active January 18, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location January 18, 2017

Registered at 384 GRAHAM AVE, BROOKLYN, NY 112112471 (Tel: 7183898015)

πŸ“
Updated Business Mailing Address January 18, 2017

Registered at 384 GRAHAM AVE, BROOKLYN, NY 112112471 (Tel: 7183898015)

πŸ‘€
Provider Name / Credentials Updated January 18, 2017

Recorded as JAE LEE, PHARMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2017

Acupuncturist (license number reported to NPPES: NY 004064-1)

βœ…
NPI Profile Active September 18, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 18, 2009

Registered at 384 GRAHAM AVE, BROOKLYN, NY 112112471 (Tel: 7183898015)

πŸ“
Business Mailing Address (Initial Record) September 18, 2009

Registered at 384 GRAHAM AVE, BROOKLYN, NY 112112471 (Tel: 7183898015)

πŸ‘€
Provider Name / Credentials (Initial Record) September 18, 2009

Recorded as JAE LEE, PHARMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2009

Pharmacist (license number reported to NPPES: NY 052390-1)

🟒
Initial NPI Registration & Enumeration August 27, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457508889
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2008
Last Update: August 19, 2025
Sole Proprietor: No

Other Pharmacists in Bayside

Mailing Address

4329 209th St # B

Bayside, NY 113612761

Phone: 9174441145

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.