Ly Pham Dang, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

51765 Issued in CA

Practice address

1271 N State St
San Jacinto, CA 92583-6315

Phone

(951) 654-4221

Fax

(951) 654-4466

NPI assigned

Aug 1, 2011

Sex

Female

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

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1285912709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 S CENTER ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737004",
            "telephone_number": "909-793-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 N STATE ST",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925836315",
            "telephone_number": "951-654-4221",
            "fax_number": "951-654-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "LY",
        "middle_name": "PHAM",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "51765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryclaire Cunningham, LCSW
• Shanai A Curtis
• Howard Curtner
• Kelsey Lyn Custer
• Caroline Ferrer Dale, MD
• Sara Joelynn Danley, MS, AMFT, APCC
• Krysann Dao
• Dap Health, Inc.
• Linda Darden, C.A.S.
• Kristopher G. Davies, DPT

• Pharmacist in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.