Individual provider Active NPI

Anna Hangthanh Ly

  • Pharmacist
  • Calexico, CA
National Provider Identifier
1003370099
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
80194 Issued in CA
Practice address
211 W Birch St
Calexico, CA 92231-2348
Phone
(760) 768-3169
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 80194 CA Primary

Addresses

Primary practice location

211 W Birch St
Calexico, CA 92231-2348

Mailing address

7434 Mesa College Dr Apt 15
San Diego, CA 92111-4924
Phone (858) 888-0768

Other practice location 1

405 W Main St
Brawley, CA 92227-2244
Phone (760) 344-5732

Other practice location 2

1501 W Main St
El Centro, CA 92243-2211
Phone (760) 352-5731

Other practice location 3

7434 Mesa College Dr Apt 15
San Diego, CA 92111-4924
Phone (858) 888-0768

Other names 1

  • Hang Thanh Ly Former name

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

LicenseStateTypeSpecialty
80194CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1003370099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7434 MESA COLLEGE DR APT 15",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921114924",
            "telephone_number": "858-888-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W BIRCH ST",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312348",
            "telephone_number": "760-768-3169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 W Main St",
            "address_purpose": "LOCATION",
            "city": "Brawley",
            "state": "CA",
            "postal_code": "922272244",
            "country_code": "US",
            "telephone_number": "760-344-5732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Main St",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922432211",
            "country_code": "US",
            "telephone_number": "760-352-5731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7434 Mesa College Dr Apt 15",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921114924",
            "country_code": "US",
            "telephone_number": "858-888-0768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LY",
        "first_name": "ANNA",
        "middle_name": "HANGTHANH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "80194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANG",
            "last_name": "LY",
            "middle_name": "THANH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Calexico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.