Active NPI
Khai P Ly, PHARM D.
- Pharmacist
- Foster City, CA
National Provider Identifier
1457619553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56967
- Practice address
- 2220 Bridgepointe Pkwy
Foster City, CA 94404-1569 - Phone
- (650) 393-2126
- Fax
- (650) 235-1022
- NPI assigned
- Apr 25, 2012
- Last updated
- Apr 25, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 56967 | CA | Primary |
Addresses
Primary practice location
2220 Bridgepointe Pkwy
Foster City, CA 94404-1569
Mailing address
2220 Bridgepointe Pkwy
Foster City, CA 94404-1569
Phone (650) 393-2126
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 |
|---|---|---|---|
| 56967 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1457619553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 BRIDGEPOINTE PKWY",
"city": "FOSTER CITY",
"state": "CA",
"postal_code": "944041569",
"telephone_number": "650-393-2126",
"fax_number": "650-235-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 BRIDGEPOINTE PKWY",
"city": "FOSTER CITY",
"state": "CA",
"postal_code": "944041569",
"telephone_number": "650-393-2126",
"fax_number": "650-235-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "KHAI",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-25",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "56967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Foster City, CA
- Carolyn Tracy Liu
- Longs Drug Stores California LLC (CVS Pharmacy #09879)
- Lucky Stores II LLC (Savon Pharmacy)
- Dana Walter Ludwig, M.D.
- Luxottica Retail North America Inc (Target Optical #C4961)
- Rong Ming Lyu
- Carla Magallon
- Magiliw, Inc. (Medicus Transit)
- Nicholas Maldonado, M.A. ED., PPS
- Eric Manzano, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.