Active NPI
Don Quoc Ly
- Pharmacist
- Downey, CA
National Provider Identifier
1336501212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 54178
- Practice address
- 8008 Firestone Blvd
Downey, CA 90241-4229 - Phone
- (562) 904-4848
- NPI assigned
- Mar 22, 2016
- Last updated
- Mar 22, 2016
- Sex
- Male
- 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 | RPH 54178 | CA | Primary |
Addresses
Primary practice location
8008 Firestone Blvd
Downey, CA 90241-4229
Mailing address
12782 Lorna St
Apt. a
Garden Grove, CA 92841-5068
Phone (714) 829-8145
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 |
|---|---|---|---|
| RPH 54178 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1336501212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12782 LORNA ST",
"address_2": "APT. A",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928415068",
"telephone_number": "714-829-8145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8008 FIRESTONE BLVD",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902414229",
"telephone_number": "562-904-4848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "DON",
"middle_name": "QUOC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 54178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.