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

Mr. Ethan Ly

Individual provider Pharmacist · NPI 1659968576

Mr. Ethan Ly is a Pharmacist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.

Licensed in
NC
In the registry since
2020

Practice location Address checks out

12830 Walker Branch Rd
Charlotte, NC 28273-8850
Phone: (704) 583-2602
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 28500 (NC)

Record details

NPI number1659968576
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 26, 2020
Last updated in NPPESFebruary 12, 2021
Certification dateFebruary 8, 2021

Other providers in Charlotte