Active NPI
Jenny Ly, PHARMD
- Pharmacist
- Yorba Linda, CA
National Provider Identifier
1609384494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76776
- Practice address
- 3940 Prospect Ave Ste R
Yorba Linda, CA 92886-1752 - Phone
- (800) 298-7176
- NPI assigned
- Jan 16, 2018
- Last updated
- Jan 16, 2018
- 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 | 76776 | CA | Primary |
Addresses
Primary practice location
3940 Prospect Ave Ste R
Yorba Linda, CA 92886-1752
Mailing address
535 Lowe Dr
Placentia, CA 92870-8207
Phone (714) 224-6348
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 |
|---|---|---|---|
| 76776 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veer Pharma Inc | 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": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516060800000",
"number": "1609384494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 LOWE DR",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928708207",
"telephone_number": "714-224-6348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3940 PROSPECT AVE STE R",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928861752",
"telephone_number": "800-298-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "JENNY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-16",
"last_updated": "2018-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorba Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.