Tan Ly, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP459266 Issued in PA

Practice address

6416 Carlisle Pike
Mechanicsburg, PA 17050-2393

Phone

(717) 796-5781

NPI assigned

Jun 16, 2025

Last updated

Jun 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pennsylvania CVS Pharmacy LLC

  dba CVS Pharmacy #17280

  • Pharmacy
  • Mechanicsburg, PA
  • NPI 1104033620
  NPD (past)
• Pennsylvania CVS Pharmacy, L.L.C.

  dba Cvs Pharmacy #17901

  • Pharmacy
  • West Chester, PA
  • NPI 1639063571
  NPD (past)

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1215823455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 WILLIAM DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170506811",
            "telephone_number": "717-678-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 CARLISLE PIKE",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502393",
            "telephone_number": "717-796-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP459266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Jared Luckenbaugh, ATC
• Lumos Behavioral Health TMS, LLC (Arkview Behavioral Health TMS)
• Lumos Recovery, LLC (Arkview Recovery Center)
• Michael F Lupinacci II, MD
• Susan E Lutz, M.S.,CCC-SLP
• Katrina Lynn, PHARM.D.
• M & N Eyecare LLC
• Scot William Macleod, PHYSICAL THERAPIST
• Brian Mader
• Rachel Maenner, PA-C

• Pharmacist in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.