Jeanne Ly, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S025770 Issued in AZ

Practice address

9152 E Brown Rd
Mesa, AZ 85207-4339

Phone

(480) 357-4833

NPI assigned

Mar 22, 2022

Last updated

Mar 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• German Dobson CVS LLC

  dba CVS Pharmacy #17927

  • Pharmacy
  • Queen Creek, AZ
  • NPI 1639053374
  NPD (past)
• German Dobson CVS, L.L.C.

  dba CVS Pharmacy #05303

  • Pharmacy
  • Mesa, AZ
  • NPI 1649374539
  NPD (past)

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1659020238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9152 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852074339",
            "telephone_number": "480-357-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9152 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852074339",
            "telephone_number": "480-357-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "JEANNE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S025770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc (Target Optical #2053)
• Luxottica of America Inc (LensCrafters #111)
• Luxottica of America Inc. (LensCrafters #563)
• Luxottica Retail North America Inc (Sears Optical #C0576)
• Luxottica Retail North America Inc (Sears Optical #C0068)
• Michelle Ly, DMD
• Lyl Phoenix LLC
• Kate Lyman
• Whitney Lymer
• Alyssa Patrice Lynch

• Pharmacist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.