Active NPI
Kathy Nhu Ly
- Pharmacist
- Pearland, TX
National Provider Identifier
1780992685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43117
- Practice address
- 2106 Frank Shore Drive
Pearland, TX 77584 - Phone
- (832) 496-0843
- NPI assigned
- Sep 14, 2010
- Sex
- Female
- 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 | 43117 | TX | Primary |
Addresses
Primary practice location
2106 Frank Shore Drive
Pearland, TX 77584
Mailing address
2106 Frank Shore Dr
Pearland, TX 77584-6736
Phone (832) 496-0843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 462327 | Medicaid | TX |
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 |
|---|---|---|---|
| 43117 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1780992685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 FRANK SHORE DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775846736",
"telephone_number": "832-496-0843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 FRANK SHORE DRIVE",
"city": "PEARLAND",
"state": "TX",
"postal_code": "77584",
"telephone_number": "832-496-0843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "KATHY",
"middle_name": "NHU",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "43117",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "462327",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.