Organization Active NPI

Vincent Ly Pharmacy Incorporation

Doing business as 701 Pharmacy

  • Community/Retail Pharmacy
  • Monterey Park, CA
National Provider Identifier
1902251945
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY54380 Issued in CA
Legal business name
VINCENT LY PHARMACY INCORPORATION
Doing business as
701 Pharmacy
986 Pharmacy
Practice address
701 S Atlantic Blvd Ste 168
Suite 168
Monterey Park, CA 91754-3866
Phone
(626) 782-7800
Fax
(626) 782-7755
NPI assigned
Apr 27, 2016
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Vincent LyNPI 1831781145
Title
Ceo/Pharmacist in Charge
Phone
(626) 672-9220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY54380 CA Primary

Addresses

Primary practice location

701 S Atlantic Blvd Ste 168
Suite 168
Monterey Park, CA 91754-3866

Mailing address

701 S Atlantic Blvd Ste 168
Monterey Park, CA 91754-3866
Phone (626) 672-9220

Other identifiers 1

IdentifierTypeStateIssuer
2159805OtherPK

Other names 2

  • 701 Pharmacy Doing business as
  • 986 Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210305000239 CA Part B Supplier - Mass Immunization (Roster Biller Only) 9537575113 Practice locations: Monterey Park, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2122996Vincent Ly Pharmacy Incorporation701 S Atlantic Blvd Ste 168, Monterey Park, CA 91754Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory

Locations

701 S Atlantic Blvd
Ste 168
Monterey Park, CA 91754
Phone (626) 782-7800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1902251945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S ATLANTIC BLVD STE 168",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917543866",
            "telephone_number": "626-672-9220",
            "fax_number": "626-782-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S ATLANTIC BLVD STE 168",
            "address_2": "SUITE 168",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917543866",
            "telephone_number": "626-782-7800",
            "fax_number": "626-782-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT LY PHARMACY INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CEO/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "626-672-9220"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY54380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159805",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "701 Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "986 Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.