NPIMap

Individual provider Active NPI

Lemuel Kyle Bean, DPH

  • Pharmacist
  • Healdton, OK
National Provider Identifier
1033475587
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12824 Issued in OK
Practice address
11103 Highway 76
Healdton, OK 73438-1723
Phone
(580) 229-1141
Fax
(580) 229-1136
NPI assigned
Apr 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12824 OK Primary

Addresses

Primary practice location

11103 Highway 76
Healdton, OK 73438-1723

Mailing address

11103 Highway 76
Healdton, OK 73438-1723
Phone (580) 229-1141

Other names 1

  • Mr. Lemuel Kyle Bean Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12824OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eck Drug Co Inc Past Accepting new patients
KND Enterprises LLC PastSince Nov 29, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1033475587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 HIGHWAY 76",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "734381723",
            "telephone_number": "580-229-1141",
            "fax_number": "580-229-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11103 HIGHWAY 76",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "734381723",
            "telephone_number": "580-229-1141",
            "fax_number": "580-229-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "LEMUEL",
        "middle_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "DPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "12824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEMUEL",
            "last_name": "BEAN",
            "middle_name": "KYLE",
            "prefix": "MR.",
            "credential": "DPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Healdton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.