Active NPI
Tony Jia Ly, PHARMD
- Pharmacist
- Kirkland, WA
National Provider Identifier
1316463557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60686691
- Practice address
- 7224 120TH Ave NE
Kirkland, WA 98033 - Phone
- (425) 343-3711
- NPI assigned
- Aug 18, 2017
- Sex
- Male
- 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 | PH60686691 | WA | Primary |
Addresses
Primary practice location
7224 120TH Ave NE
Kirkland, WA 98033
Mailing address
7224 120TH Ave NE
Kirkland, WA 98033-8100
Phone (425) 343-3711
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60686691 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1316463557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7224 120TH AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980338100",
"telephone_number": "425-343-3711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7224 120TH AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98033",
"telephone_number": "425-343-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "TONY",
"middle_name": "JIA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60686691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.