IndividualActive
Jaebeom Lee
NPI 1356105498 · Pharmacist · Southampton, NY
Jaebeom Lee is a Pharmacist provider in Southampton, NY (NPI 1356105498).
Provider details
- NPI number
- 1356105498
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 071310 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Main St
Southampton, NY 11968-4838
Phone: (631) 283-4250
Street-level locationGet directions
Mailing address
1998 Route 112 Apt 23a
Coram, NY 11727-3059
Registry dates
- Enumerated
- 2024-02-08
- Last updated
- 2024-02-08
- Certified
- 2024-02-08
Frequently asked questions
- What is Jaebeom Lee's NPI number?
- Jaebeom Lee's National Provider Identifier (NPI) is 1356105498, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaebeom Lee's specialty?
- Jaebeom Lee is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jaebeom Lee located?
- Jaebeom Lee's practice location on file with NPPES is 111 Main St, Southampton, NY 11968-4838.
- What is Jaebeom Lee's phone number?
- The practice phone number listed in the NPPES registry for Jaebeom Lee is (631) 283-4250.
- Is Jaebeom Lee's NPI active?
- Yes — Jaebeom Lee's NPI (1356105498) is active in the NPPES registry as of the last update on 2024-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.