Active NPI
Steven Ly
- Pharmacist
- Bellevue, WA
National Provider Identifier
1679910236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60296301
- Practice address
- 2353 130TH Ave NE Ste 100
Bellevue, WA 98005-1759 - Phone
- (425) 855-6685
- NPI assigned
- May 22, 2013
- 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 | PH60296301 | WA | Primary |
Addresses
Primary practice location
2353 130TH Ave NE Ste 100
Bellevue, WA 98005-1759
Mailing address
3701 S Hudson St Apt 213
Seattle, WA 98118-2162
Phone (503) 975-5945
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH60296301 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1679910236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 S HUDSON ST APT 213",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981182162",
"telephone_number": "503-975-5945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2353 130TH AVE NE STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051759",
"telephone_number": "425-855-6685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "STEVEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-22",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60296301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.