Active NPI
Manle Ly
- Pharmacist
- New York, NY
National Provider Identifier
1932421435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50600
- Practice address
- 545 3Rd Ave
New York, NY 10016-3501 - Phone
- (212) 696-5081
- Fax
- (212) 696-5087
- NPI assigned
- Feb 24, 2010
- Sex
- Female
- 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 | 50600 | NY | Primary |
Addresses
Primary practice location
545 3Rd Ave
New York, NY 10016-3501
Mailing address
545 3Rd Ave
New York, NY 10016-3501
Phone (212) 696-5081
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50600 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1932421435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163501",
"telephone_number": "212-696-5081",
"fax_number": "212-696-5087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163501",
"telephone_number": "212-696-5081",
"fax_number": "212-696-5087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "MANLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "50600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.