Active NPI
Lily Ma
- Pharmacist
- Placentia, CA
National Provider Identifier
1538647771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50742
- Practice address
- 1240 E Yorba Linda Blvd
Placentia, CA 92870-3832 - Phone
- (714) 996-7050
- NPI assigned
- Jul 31, 2018
- Last updated
- Jul 31, 2018
- 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 | 50742 | CA | Primary |
Addresses
Primary practice location
1240 E Yorba Linda Blvd
Placentia, CA 92870-3832
Mailing address
1240 E Yorba Linda Blvd
Placentia, CA 92870-3832
Phone (714) 996-7050
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach 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, 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": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1538647771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 E YORBA LINDA BLVD",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928703832",
"telephone_number": "714-996-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 E YORBA LINDA BLVD",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928703832",
"telephone_number": "714-996-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MA",
"first_name": "LILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "50742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.