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MR. ETHAN LY
NPI 1659968576
Pharmacist in Charlotte, NC

Active since December 26, 2020
12830 WALKER BRANCH RD, CHARLOTTE, NC 28273(704) 583-2602 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2021, Dec 26, 2020 (2 updates tracked since 2020).

About Mr. Ethan Ly NPPES

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

MR. ETHAN LY (NPI 1659968576) is an individual pharmacist in Charlotte, North Carolina, licensed in North Carolina (28500) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1659968576
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. ETHAN LY
Location Address12830 WALKER BRANCH RDCharlotte, NC 28273-8850
Mailing Address12830 Walker Branch RdCharlotte, NC 28273-8850 · (704) 583-2602
Phone(704) 583-2602
Sole ProprietorNo
Enumeration DateDecember 26, 2020
Last NPPES UpdateFebruary 12, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
✔ NPI 1659968576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NC · 28500
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.
12830 WALKER BRANCH RD, Charlotte, NC 28273
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Other Providers at the Same Location NPPES 6

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

DR. CELESTE ANNE ROSSETTI PHARMD
Pharmacist
12830 WALKER BRANCH RD
CHARLOTTE, NC 28273
Mecklenburg County (704) 583-2602
NORTH CAROLINA CVS PHARMACY LLC
Pharmacy
12830 WALKER BRANCH RD
CHARLOTTE, NC 28273
Mecklenburg County (704) 583-2602
DR. JASON ROBERT RAY PHARMD
Pharmacist
12830 WALKER BRANCH RD
CHARLOTTE, NC 28273
Mecklenburg County (704) 583-2602
LUXOTTICA RETAIL NORTH AMERICA INC
Eyewear Supplier
12830 WALKER BRANCH RD
CHARLOTTE, NC 28273
Mecklenburg County (704) 583-0341
MRS. CRYSTAL MASCOLA SCHAEDEL PHARM. D.
Pharmacist
12830 WALKER BRANCH RD
CHARLOTTE, NC 28273
Mecklenburg County (704) 583-2602
MRS. SHAWANDA LESTER SPENCER NP-C
Nurse Practitioner (Family)
12830 WALKER BRANCH RD
CHARLOTTE, NC 28273
Mecklenburg County (704) 583-2601

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 Ethan Ly's NPI number?

The NPI number for Ethan Ly is 1659968576. It was assigned to this individual provider in the NPPES registry on December 26, 2020.

Where is Ethan Ly located?

Ethan Ly practices at 12830 Walker Branch Rd, Charlotte, NC 28273. The listed phone number is (704) 583-2602.

What is Ethan 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 Ethan Ly was last updated on February 12, 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.