Active NPI
David Ly
- Pharmacist
- Paradise, CA
National Provider Identifier
1851838221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75047
- Practice address
- 6800 Skyway
Paradise, CA 95969-3924 - Phone
- (530) 876-0186
- NPI assigned
- Jan 24, 2017
- Last updated
- Jan 24, 2017
- Sex
- Male
- 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 | 75047 | CA | Primary |
Addresses
Primary practice location
6800 Skyway
Paradise, CA 95969-3924
Mailing address
1723 S Curtis Ave
Alhambra, CA 91803-3125
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | 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": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1851838221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1723 S CURTIS AVE",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918033125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 SKYWAY",
"city": "PARADISE",
"state": "CA",
"postal_code": "959693924",
"telephone_number": "530-876-0186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-24",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paradise, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.