Truman Ly
Pharmacist in San Jose, CA. Individual provider (NPI-1).
NPI number1457894875
StatusActive
Last updated in NPPESDec 2, 2016
Details
- NPI
- 1457894875
- Entity type
- Individual (NPI-1)
- Name
- Truman Ly
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2016
- Last updated
- Dec 2, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 75916 | CA | Yes |
Practice location
2105 Morrill AveSan Jose, CA 95132-1130
Phone 408-263-5550
Mailing address
2105 Morrill AveSan Jose, CA 95132-1130
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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