J & J Ly, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

J & J LY, INC.

Doing business as

Medicap Pharmacy

Practice address

4917 E Kings Canyon Rd Ste 102
Fresno, CA 93727-3996

Phone

(559) 255-8085

NPI assigned

Feb 21, 2023

Last updated

Feb 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

May Lee

Title

President

Phone

(559) 367-9161

Specialties & licenses 2

Addresses

Other names 1

• Medicap Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1922706761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 E KINGS CANYON RD STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 E KINGS CANYON RD STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273996",
            "telephone_number": "559-255-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J LY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-367-9161"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emmanuella O Iwebor, FNP
• Melissa Iwo, MS
• Bala Chidambaram Iyer, MD
• Emily Izazaga
• Shannon Hana Izuka, MD
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• J&P Health LLC
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• Pharmacy in Fresno, CA
• Providers in Fresno, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.