Son Ly, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60091713 Issued in WA

Practice address

8530 Evergreen Way
Everett, WA 98208-2614

Phone

(425) 348-8433

Fax

(425) 348-8422

NPI assigned

May 11, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shawn Ly Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1558620468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982082614",
            "telephone_number": "425-348-8433",
            "fax_number": "425-348-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982082614",
            "telephone_number": "425-348-8433",
            "fax_number": "425-348-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "SON",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60091713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "LY",
            "credential": "PHARM D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Minh T. Luu, M.D.
• Kayla Marie Lux, DPT, PT
• Luxottica of America Inc
• Luxottica of America Inc.
• Kim Ly, DO
• Michelle M Lydston, PA-C
• Brianna Summer Lyman
• Theresa Lynch
• Rosalie Lynd
• Rebekah J. Lynn-Giles

• Pharmacist in Everett, WA
• Providers in Everett, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.