Active NPI
Connie Ly, PHARM D
- Pharmacist
- Greer, SC
National Provider Identifier
1518404185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36956
- Practice address
- 1232 W Wade Hampton Blvd
Greer, SC 29650-1243 - Phone
- (864) 801-2337
- NPI assigned
- Jan 20, 2017
- Last updated
- Jan 20, 2017
- Sex
- Female
- 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 | 36956 | SC | Primary |
Addresses
Primary practice location
1232 W Wade Hampton Blvd
Greer, SC 29650-1243
Mailing address
1232 W Wade Hampton Blvd
Greer, SC 29650-1243
Phone (864) 801-2337
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1484870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1518404185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 W WADE HAMPTON BLVD",
"city": "GREER",
"state": "SC",
"postal_code": "296501243",
"telephone_number": "864-801-2337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1232 W WADE HAMPTON BLVD",
"city": "GREER",
"state": "SC",
"postal_code": "296501243",
"telephone_number": "864-801-2337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "CONNIE",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-20",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "36956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.