Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Ly, PHARMD

Individual provider Pharmacist · NPI 1457673642

Jason Ly, PHARMD is a Pharmacist in Staten Island, New York. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

250 Page Ave
Staten Island, NY 10307-1113
Phone: (718) 966-6606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051956 (NY)
Pharmacist Taxonomy 183500000X · Licence 28RI03162800 (NJ)

Record details

NPI number1457673642
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedFebruary 16, 2010
Last updated in NPPESFebruary 16, 2010

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