DR. CUONG CAM LY (NPI# 1114451887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114451887 |
| Entity Type | Individual |
| Full Name | DR. CUONG CAM LY |
| Credential | PHARMD, BCPS |
| Practice Address |
260 International Cir San Jose CA 95119-1130 |
| Practice Telephone | 4089726349 |
| Mailing Telephone | 4089726349 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 17683 | NV | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 60508 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306883053 | Cuong Phu Ly | Internal Medicine | 24221 Calle De La Louisa, Suite 300, Laguna Hills, CA 92653-7638 | 2006-06-01 |
| Street Address |
260 INTERNATIONAL CIR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689695090 | Alexandra Phuong Tran-perez | Internal Medicine | 260 International Cir, One North, Medical Two, San Jose, CA 95119-1130 | 2006-07-21 |
| 1841724663 | Marc Oliver Espartinez Armena | Pharmacist | 260 International Cir, San Jose, CA 95119-1130 | 2017-04-18 |
| 1467986349 | Andy Katsu Nguyen | Pharmacist | 260 International Cir, San Jose, CA 95119-1130 | 2017-04-17 |
| 1689107187 | Dawn Duong | Pharmacist | 260 International Cir, San Jose, CA 95119-1130 | 2017-04-11 |
| 1447781836 | Kyle Le | Pharmacist | 260 International Cir, San Jose, CA 95119-1130 | 2017-03-27 |
| 1285165852 | Loan Nguyen | Pharmacist | 260 International Cir, San Jose, CA 95119-1130 | 2017-03-24 |
| 1619408507 | Marjaneh Hosseani | Pharmacist | 260 International Cir, One North Pharmacy, San Jose, CA 95119-1130 | 2017-03-23 |
| 1083145205 | Thang Cao Huynh | Pharmacist | 260 International Cir, San Jose, CA 95119-1130 | 2017-03-21 |
| 1649651019 | Elaine Lee | Pharmacist | 260 International Cir, San Jose, CA 95119-1130 | 2015-06-11 |
| 1467881821 | Lisa Finger | Physician Assistant | 260 International Cir, 1 North Orthopaedic Department, San Jose, CA 95119-1130 | 2013-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| 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 |
|---|---|---|---|---|
| 1831714427 | Camille Tran | Pharmacist | 2251 Bellington Ct, San Jose, CA 95138-2469 | 2020-06-10 |
| 1194340604 | Tan Vu | Pharmacist | 4643 Park Norton Pl, San Jose, CA 95136-2523 | 2020-06-10 |
| 1356970974 | Viet Quoc Bui | Pharmacist | 2451 S King Rd Ste A1, San Jose, CA 95122-2540 | 2020-04-06 |
| 1063041903 | Tam Minh To | Pharmacist | 307 Checkers Dr Apt 203, San Jose, CA 95133-2254 | 2020-04-03 |
| 1336777598 | Tina Marie Trinh | Pharmacist | 2707 Glen Loman Way, San Jose, CA 95148-4128 | 2020-03-31 |
| 1487285011 | Nanxi Tang | Pharmacist | 5517 Leigh Ave, San Jose, CA 95124-6128 | 2020-02-02 |
| 1609407410 | Kuan Pei Wu | Pharmacist | 2953 Leigh Ave, San Jose, CA 95124-1635 | 2020-01-30 |
| 1982243135 | Elizabeth Vo | Pharmacist | 3091 Mattos Ave, San Jose, CA 95132-1741 | 2020-01-04 |
| 1093354961 | Truong Thinh Le Thiem | Pharmacist | 1275 Cathay Dr, San Jose, CA 95122-1906 | 2019-12-24 |
| 1306484811 | Tiana Truong | Pharmacist | 2955 Senter Rd Ste 55, San Jose, CA 95111-1200 | 2019-12-16 |
| Find all providers in SAN JOSE | ||||
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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.