THEODORE QM LY
NPI 1053980839
Pharmacist in San Luis Obispo, CA

Active since June 24, 2021
1251 JOHNSON AVE, SAN LUIS OBISPO, CA 93401(805) 545-0655 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodore Qm Ly NPPES

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

THEODORE QM LY (NPI 1053980839) is an individual pharmacist in San Luis Obispo, California, licensed in California (84269) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1053980839
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameTHEODORE QM LY
Location Address1251 JOHNSON AVESan Luis Obispo, CA 93401-3306
Mailing Address1633 W Southgate AveFullerton, CA 92833-3850
Sole ProprietorNo
Enumeration DateJune 24, 2021
NPPES CertifiedJune 24, 2021
NPI 1053980839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 84269
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.
1251 JOHNSON AVE, San Luis Obispo, CA 93401

Other Providers at the Same Location NPPES 9

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

Pharmacist
1251 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Pharmacy (Community/Retail Pharmacy)
1251 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Registered Nurse
1251 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Pharmacist
1251 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Pharmacy Technician
1251 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Pharmacist
1251 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Pharmacist
1251 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Registered Nurse
1251 JOHNSON AVE
SAN LUIS OBISPO, CA 93401

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 Theodore Ly's NPI number?

The NPI number for Theodore Ly is 1053980839. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Theodore Ly located?

Theodore Ly practices at 1251 Johnson Ave, San Luis Obispo, CA 93401. The listed phone number is (805) 545-0655.

What is Theodore 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 Theodore Ly was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.