Active NPI
Anna Hangthanh Ly
- Pharmacist
- Calexico, CA
National Provider Identifier
1003370099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80194
- 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
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 | 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
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 |
|---|---|---|---|
| 80194 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Retail Pharmacy
- Calexico, CA
- NPI 1275625360
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- Brawley, CA
- NPI 1588686497
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.