IndividualActive
Kimberly Mae Moll Lee
NPI 1780331231 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Tuba City, AZ
Provider details
- NPI number
- 1780331231
- Entity type
- Individual
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
167 N Main St
Tuba City, AZ 86045
Phone: (928) 283-2754
Fax: (928) 283-2758
Approximate (ZIP-level) locationGet directions
Mailing address
710 Three Chimneys Way
Oakdale, CA 95361-7781
Additional practice locations (1)
- 710 Three Chimneys WayOakdale, CA 95361-7781Phone: (209) 535-7508
Registry dates
- Enumerated
- 2022-03-04
- Last updated
- 2022-06-06
- Certified
- 2022-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.