Active NPI
Carrie Lynn Ly, PHARMD
- Pharmacist
- Sarasota, FL
National Provider Identifier
1417545468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS43287
- Practice address
- 1231 Beneva Rd
Sarasota, FL 34232-3152 - Phone
- (941) 365-4353
- Fax
- (941) 316-0846
- NPI assigned
- Jan 5, 2021
- Sex
- Female
- 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 | PS43287 | FL | Primary |
Addresses
Primary practice location
1231 Beneva Rd
Sarasota, FL 34232-3152
Mailing address
1231 Beneva Rd
Sarasota, FL 34232-3152
Phone (941) 365-4353
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 |
|---|---|---|---|
| PS43287 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1417545468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 BENEVA RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342323152",
"telephone_number": "941-365-4353",
"fax_number": "941-316-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 BENEVA RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342323152",
"telephone_number": "941-365-4353",
"fax_number": "941-316-0846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "CARRIE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-05",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
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- Katrin Maria Luyten, PT
- German Enrique Luzardo Granados, MD
- Jean Marie Brown Ly, M.D.
- Tan Duy Ly, D.O.
- Jayme Nichole Lyday
- Misty Lyke, APRN
- Sandra Christine-Bozik Lyman, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.