Active NPI
Peter Ty, PHARM.D.
- Pharmacotherapy Pharmacist
- Lakewood, CA
National Provider Identifier
1659799310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 65736
- Practice address
- 2937 Candlewood St
Lakewood, CA 90712-2129 - Phone
- (562) 761-7882
- NPI assigned
- Mar 31, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 65736 | CA | Primary |
Addresses
Primary practice location
2937 Candlewood St
Lakewood, CA 90712-2129
Mailing address
2937 Candlewood St
Lakewood, CA 90712-2129
Phone (562) 761-7882
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1659799310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2937 CANDLEWOOD ST",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907122129",
"telephone_number": "562-761-7882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2937 CANDLEWOOD ST",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907122129",
"telephone_number": "562-761-7882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TY",
"first_name": "PETER",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-31",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "65736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.