Active NPI
Michelle Ly
- Pharmacist
- Bakersfield, CA
National Provider Identifier
1609302488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76254
- Practice address
- 8400 Rosedale Hwy
Bakersfield, CA 93312-2151 - Phone
- (714) 300-5536
- NPI assigned
- May 11, 2017
- Last updated
- Nov 16, 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 | 76254 | CA | Primary |
Addresses
Primary practice location
8400 Rosedale Hwy
Bakersfield, CA 93312-2151
Mailing address
6022 Darlington Ave
Buena Park, CA 90621-2402
Phone (714) 300-5536
Other practice location 1
702 SW 8th St
Bentonville, AR 72716-6209
Phone (479) 273-4000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76254 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1609302488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6022 DARLINGTON AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906212402",
"telephone_number": "714-300-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8400 ROSEDALE HWY",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933122151",
"telephone_number": "714-300-5536"
}
],
"practiceLocations": [
{
"address_1": "702 SW 8th St",
"address_purpose": "LOCATION",
"city": "Bentonville",
"state": "AR",
"postal_code": "727166209",
"country_code": "US",
"telephone_number": "479-273-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LY",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
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- Luxottica Retail North America Inc (Sears Optical #1293)
- Luxy Transportation LLC
- Kelly Ly, O.D
- Clara R Lyashevsky, DO
- Emily Rose Lyles, LCSW
- Elizabeth Ashley Lyman
- Anna Margaret Lynch
- Ashley Nicole Lynch, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.