Mimi Ngoc Tran-Ly, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202205760 Issued in VA

Practice address

5999 Burke Commons Rd
Burke, VA 22015-2880

Phone

(703) 249-7919

Fax

(703) 249-7787

NPI assigned

Feb 15, 2007

Last updated

May 30, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1861535098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12691 HERON RIDGE DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306637",
            "telephone_number": "571-213-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 BURKE COMMONS RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152880",
            "telephone_number": "703-249-7919",
            "fax_number": "703-249-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN-LY",
        "first_name": "MIMI",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202205760",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "17584",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100000497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ananth Thyagarajan, M.D.
• Carlo Tirso
• Philip John Tomaselli Jr., DDS
• April Ton, D.D.S.
• Toan Tan Trac, DPT
• Ngoc Tran
• Sarah Tran, LCSW
• David Michael Treff, D.D.S.
• Taylor Marie Trenner, FNP-BC
• Patrick Tubbins

• Pharmacist in Burke, VA
• Providers in Burke, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.