DYLAN V. LY PHARMD – NPI #1134479918
Pharmacist

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

DYLAN LY is a pharmacist located in PAGE, AZ. NPPES has assigned the NPI number 1134479918 to DYLAN LY on September 19, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1835P0018X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

The NPI profile was previously updated about 14 years ago on Sep 26, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DYLAN LY below.

NPI Profile for
DYLAN V. LY

NPI Number
1134479918
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DYLAN V. LY
Credentials
PHARMD
Primary location
650 ELM ST
PAGE, AZ 86040
Phone: (928) 645-5714 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P0018X
- Pharmacist / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Primary)
AZ S019451

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.