DYLAN VUDUY LY PHARMD
NPI 1134479918
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Page, AZ

Active since September 19, 2012

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dylan Vuduy Ly Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYLAN VUDUY LY PHARMD (NPI 1134479918) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Page, Arizona, licensed in Arizona (S019451) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1134479918
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameDYLAN VUDUY LYCredential: PHARMD
Location Address650 ELM STPage, AZ 86040
Mailing Address650 Elm StPage, AZ 86040 · (928) 645-5714
Sole ProprietorNo
Enumeration DateSeptember 19, 2012
Last NPPES UpdateSeptember 26, 2012
NPI 1134479918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in AZ · S019451
Definition
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.
650 ELM ST, Page, AZ 86040

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
650 ELM ST
PAGE, AZ 86040
Pharmacy (Community/Retail Pharmacy)
650 ELM ST
PAGE, AZ 86040
Pharmacist
650 ELM ST
PAGE, AZ 86040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dylan Ly's NPI number?

The NPI number for Dylan Ly is 1134479918. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Where is Dylan Ly located?

Dylan Ly practices at 650 Elm St, Page, AZ 86040. The listed phone number is (928) 645-5714.

What is Dylan Ly's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Dylan Ly was last updated on September 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.