Ronald Ly

Primary specialty

PharmacistTaxonomy code 183500000X

License

60309 Issued in CA

Practice address

1020 Irvine Ave
Newport Beach, CA 92660-4602

Phone

(949) 642-0122

NPI assigned

Nov 28, 2017

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Garfield Beach CVS LLC

  • Pharmacy
  • Newport Beach, CA
  • NPI 1114963279
  NPD (past)
• Garfield Beach CVS, L.L.C.

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1740794890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 IRVINE AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926604602",
            "telephone_number": "949-642-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 IRVINE AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926604602",
            "telephone_number": "949-642-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "RONALD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-28",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "60309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc.
• Luxottica of America Inc.
• Luz Elena Cano MD Inc
• LWC Therapy Marriage& Family Therapy Inc
• Andrew Duy Ly, MD
• Sung Lydon, D.D.S.
• Lyg, a Professional Medical Corporation
• Jennifer Ann Lyman, PH.D.
• Sarah Lyndon, PSY.D
• Lynn Dimino MD Inc.

• Pharmacist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.