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BAO G LY RPH
NPI 1144805508
Pharmacist in Santa Rosa, CA

Active since March 16, 2021
2336 MIRAGE CT, SANTA ROSA, CA 95403(707) 934-5378 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bao G Ly Rph NPPES

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

BAO G LY RPH (NPI 1144805508) is an individual pharmacist in Santa Rosa, California, licensed in California (RPH84130) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1144805508
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameBAO G LYCredential: RPH
Location Address2336 MIRAGE CTSanta Rosa, CA 95403-7611
Mailing Address2336 Mirage CtSanta Rosa, CA 95403-7611 · (707) 934-5378
Phone(707) 934-5378
Sole ProprietorYes
Enumeration DateMarch 16, 2021
Last NPPES UpdateMarch 17, 2021
NPPES CertifiedMarch 17, 2021
✔ NPI 1144805508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in CA · RPH84130✔ Licensed in PA · RP455496
Definition
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.
2336 MIRAGE CT, Santa Rosa, CA 95403
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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 Bao Ly's NPI number?

The NPI number for Bao Ly is 1144805508. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Where is Bao Ly located?

Bao Ly practices at 2336 Mirage Ct, Santa Rosa, CA 95403. The listed phone number is (707) 934-5378.

What is Bao Ly's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Bao Ly was last updated on March 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.