Vivian Ly, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH56013 Issued in CA

Practice address

222 W 39TH Ave
San Mateo, CA 94403-4364

Phone

(650) 372-3206

NPI assigned

Aug 31, 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

Other identifiers 1

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 and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Daly City, CA
  • NPI 1871508101
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1376824573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SAN PEDRO RD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142528",
            "telephone_number": "650-756-3412",
            "fax_number": "650-756-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 39TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034364",
            "telephone_number": "650-372-3206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 San Pedro Rd",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940142528",
            "country_code": "US",
            "telephone_number": "650-756-3412",
            "fax_number": "650-756-2074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LY",
        "first_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH56013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF PHARMACY",
            "identifier": "RPH56013",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Luu
• John Luu, DC
• Luxottica of America Inc
• Luxottica of America Inc.
• Nga Ly
• Nancy Lynch, M.D.
• Sein A Lynn, D.D.S
• Scott Lyon
• M & M Medical Supplies, Inc
• M. Turner, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.