Active NPI
Patty Ly
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1053070755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19366
- Practice address
- 850 S Rancho Dr
Las Vegas, NV 89106-3810 - Phone
- (702) 878-7414
- NPI assigned
- Dec 10, 2021
- 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 | 19366 | NV | Primary |
Addresses
Primary practice location
850 S Rancho Dr
Las Vegas, NV 89106-3810
Mailing address
9117 Sag Valley CT
Las Vegas, NV 89113-6222
Phone (310) 619-8882
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 |
|---|---|---|---|
| 19366 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith'S Food & Drug Centers Inc | Past | Accepting new patients | |
| Smiths Food & Drug Centers Inc | Past | Accepting new patients |
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
- Henderson, NV
- NPI 1881585248
-
- Community/Retail Pharmacy
- Las Vegas, NV
- NPI 1144245762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1053070755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9117 SAG VALLEY CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891136222",
"telephone_number": "310-619-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 S RANCHO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063810",
"telephone_number": "702-878-7414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "PATTY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-10",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "19366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.