Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457508889 Individual Practitioner Male Practitioner

Dr. Jae Lee , PharmD

Pharmacist • Bayside, NY

Professional Overview & Biography Verified Profile Summary

Dr. Jae Lee, PharmD is a registered healthcare professional specializing in Pharmacist in Bayside, NY. Practice services are available at 4329 209TH ST # B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4329 209th St # B

Bayside, NY 113612761

Telephone 9174441145
Fax 6466076699
Associated Practice Facility / Clinic
🏢 Hyoja Pharmacy Inc Facility NPI 1902663073

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bayside, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
104 Specialists

Practicing in Bayside, NY (23779 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-19
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License 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

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Hanna Kwon

Pharmacist

NPI 1972443034

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

20 Historical Events
📍
Updated Practice Location August 19, 2025

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

📍
Updated Business Mailing Address August 19, 2025

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

📍
Updated Practice Location May 22, 2025

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

📍
Updated Business Mailing Address May 22, 2025

Registered at 595 E TREMONT AVE, BRONX, NY 104574727

📍
Updated Practice Location March 22, 2023

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

📍
Updated Business Mailing Address March 22, 2023

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

📍
Updated Practice Location October 25, 2019

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

📍
Updated Practice Location July 17, 2018

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

📍
Updated Business Mailing Address July 17, 2018

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

NPI Profile Active January 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2017

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

📍
Updated Business Mailing Address January 18, 2017

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

👤
Provider Name / Credentials Updated January 18, 2017

Recorded as JAE LEE, PHARMD

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

Acupuncturist (License #004064-1 in NY)

NPI Profile Active September 18, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2009

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

📍
Updated Business Mailing Address September 18, 2009

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

👤
Provider Name / Credentials Updated September 18, 2009

Recorded as JAE LEE, PHARMD

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

Pharmacist (License #052390-1 in NY)

🟢
Initial NPI Registration & Enumeration August 27, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

4329 209th St # B

Bayside, NY 113612761

Phone: 9174441145

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.