Active NPI
Binh Kiem Ly, PHARMD
- Pharmacist
- Wichita, KS
National Provider Identifier
1427669340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-109218
- Practice address
- 3150 S Seneca St
Wichita, KS 67217-3235 - Phone
- (316) 522-7489
- Fax
- (316) 522-8658
- NPI assigned
- Aug 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-109218 | KS | Primary |
Addresses
Primary practice location
3150 S Seneca St
Wichita, KS 67217-3235
Mailing address
3150 S Seneca St
Wichita, KS 67217-3235
Phone (316) 522-7489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-109218 | Medicaid | KS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rxm.05770@store.walgreens.com |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-109218 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1427669340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 S SENECA ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672173235",
"telephone_number": "316-522-7489",
"fax_number": "316-522-8658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 S SENECA ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672173235",
"telephone_number": "316-522-7489",
"fax_number": "316-522-8658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "BINH",
"middle_name": "KIEM",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-109218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1-109218",
"state": "KS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rxm.05770@store.walgreens.com",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "3150 S Seneca St",
"city": "Wichita",
"state": "KS",
"country_code": "US",
"postal_code": "672173235",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wichita, KS
- Luxottica of America Inc (Target Optical #C4362)
- Luxottica of America Inc (Target Optical #4361)
- Luxottica of America Inc. (Lenscrafters #172)
- Luxottica of America Inc. (Lenscrafters #417)
- Luxottica Retail North America Inc (Sears Optical #C0619)
- Doan Ly, PHARMD
- Aaron Jacob Lybrand, TLMFT
- Clay Earl Lyddane, MD PHD
- Leslie Jeanette Lykes, MA
- Nicole Marie Lykins, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.