Active NPI
Kiu Say Ly
- Pharmacist
- Broomall, PA
National Provider Identifier
1972105310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP043241L
- Practice address
- 2180 W Chester Pike
Broomall, PA 19008-3330 - Phone
- (610) 355-9244
- Fax
- (844) 224-0656
- NPI assigned
- Nov 11, 2020
- Sex
- Female
- 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 | RP043241L | PA | Primary |
Addresses
Primary practice location
2180 W Chester Pike
Broomall, PA 19008-3330
Mailing address
2180 W Chester Pike
Broomall, PA 19008-3330
Phone (610) 355-9244
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 |
|---|---|---|---|
| RP043241L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Giant Company, LLC | Current | Accepting new patients | |
| The Giant Company, LLC | Past | Accepting new patients |
Locations
2180 W Chester Pike
Broomall, PA 19008
Phone (610) 355-9244
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.
-
- Community/Retail Pharmacy
- Broomall, PA
- NPI 1154353175
-
- Community/Retail Pharmacy
- Quarryville, PA
- NPI 1952182305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1972105310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 W CHESTER PIKE",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083330",
"telephone_number": "610-355-9244",
"fax_number": "844-224-0656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 W CHESTER PIKE",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083330",
"telephone_number": "610-355-9244",
"fax_number": "844-224-0656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "KIU",
"middle_name": "SAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-11",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP043241L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broomall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.