Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaebeom Lee

Individual provider Pharmacist · NPI 1356105498

Jaebeom Lee is a Pharmacist in Southampton, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

111 Main St
Southampton, NY 11968-4838
Phone: (631) 283-4250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 071310 (NY)

Record details

NPI number1356105498
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 8, 2024
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024
Mailing address1998 Route 112 Apt 23a, Coram, NY 11727-3059

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