Healthcare Provider Details

I. General information

NPI: 1437079050
Provider Name (Legal Business Name): AVERY LUI PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11300 CORPORATE AVE STE 120
LENEXA KS
66219-1365
US

IV. Provider business mailing address

3805 LLOYD ST
KANSAS CITY KS
66103-2826
US

V. Phone/Fax

Practice location:
  • Phone: 913-574-0600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-125463
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: