VIVIAN LY (NPI# 1598065005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598065005 |
| Entity Type | Individual |
| Full Name | VIVIAN LY |
| Credential | PHARMD |
| Practice Address |
20711 Bothell Everett Hwy Bothell WA 98012-7139 |
| Practice Telephone | 4254864473 |
| Mailing Telephone | 4254864473 |
| Enumeration Date | 2010-10-31 |
| Last Update Date | 2015-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00060211 | WA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | S017865 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083104764 | Vivian Ly | Chiropractor | 950 Campbell Ave, West Haven, CT 06516-2770 | 2018-05-17 |
| 1376824573 | Vivian Ly | Pharmacist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2011-08-31 |
| 1306053178 | Vivian Ly | Occupational Therapist | 1415 Route 70 East, Suite 103, Cherry Hill, NJ 08034 | 2007-05-17 |
| Street Address |
20711 BOTHELL EVERETT HWY |
| City | BOTHELL |
| State | WA |
| Zip Code | 98012-7139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790721397 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 20711 Bothell Everett Hwy, Bothell, WA 98012-7139 | 2006-06-21 |
| 1841577665 | Linda Do-cao | Pharmacist | 20711 Bothell Everett Hwy, Bothell, WA 98012-7139 | 2011-11-08 |
| 1750665907 | Kim Phan | Pharmacist | 20711 Bothell Everett Hwy, Bothell, WA 98012-7139 | 2011-10-06 |
| 1336440601 | Yaw Adjei Ntiamoah | Pharmacist | 20711 Bothell Everett Hwy, Bothell, WA 98012-7139 | 2010-11-03 |
| 1841590551 | Amber Bemis | Pharmacist | 20711 Bothell Everett Hwy, Bothell, WA 98012-7139 | 2010-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
| 1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
| 1861975526 | Jenifer Rae Denormandie | Pharmacist | 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 | 2018-09-10 |
| 1780161760 | Azadeh Fariba | Naturopath | 15411 40th Dr Se, Bothell, WA 98012 | 2018-07-23 |
| 1720572902 | Rickey Lee Mcgregor | Counselor | 16300 Mill Creek Blvd, Suite 204, Mill Creek, WA 98012 | 2018-06-20 |
| 1306349865 | Rudi Lauren Romaine | Behavioral Analyst | 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 | 2018-03-12 |
| 1164961025 | Wickler Behavioral Consulting | Behavioral Analyst | 632 182nd Street Se, Bothell, WA 98012 | 2017-02-13 |
| 1588026413 | Nathan Earl Crawford | Massage Therapist | 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 | 2016-03-21 |
| 1144618083 | Jocelyn Enabulele | Counselor | 19105 Waxen Road, Bothell, WA 98012 | 2014-12-30 |
| 1124426846 | Teeth R Us | Dentist | 1908 201 Pl Se Suite #201, Bothell, WA 98012 | 2014-12-11 |
| Find all providers in zip 98012 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558906933 | Marina Basily | Pharmacist | 19121 112th Ave Ne Apt 636, Bothell, WA 98011-0042 | 2019-11-09 |
| 1669027017 | Maha Magdy Banoub | Pharmacist | 19410 Meridian Pl W, Bothell, WA 98012-9710 | 2019-08-02 |
| 1639618002 | Sonu Bohra | Pharmacist | 20236 124th Ave Ne, Bothell, WA 98011-7655 | 2017-02-18 |
| 1043693229 | Michelle Taylor | Pharmacist | 3530 214th Pl Se, Bothell, WA 98021-7067 | 2015-07-07 |
| 1427471325 | Osler Gregorio Andres Andres | Pharmacist | 1909 214th St Se Ste 301, Bothell, WA 98021-4412 | 2014-01-28 |
| 1952733602 | Justin Scott Poole | Pharmacist | 18001 Bothell Everett Hwy Ste 101, Bothell, WA 98012-1660 | 2013-08-05 |
| 1326385766 | Jennifer Han Ju Wang | Pharmacist | 21540 30th Dr Se Ste 330, Bothell, WA 98021-7015 | 2013-01-04 |
| 1679817514 | Etsegenet E Simachew | Pharmacist | 22316 36th Ave Se, Bothell, WA 98021-0001 | 2012-11-15 |
| 1750636692 | Cindy Minh Bergmann | Pharmacist | 15715 36th Dr Se, Bothell, WA 98012-4747 | 2012-07-17 |
| 1326314857 | Shaila S Shukla | Pharmacist | 21045 Bothell Everett Hwy, Bothell, WA 98021-8405 | 2012-03-29 |
| Find all providers in BOTHELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.