DR. WILSON OAI LY PHARM.D. NPI 1063653582

NPI Information

NPI: 1063653582
Provider Name: DR. WILSON OAI LY, PHARM.D.
Classification: Clinic/Center - 261QA0600X
Entity Type: Individual

Specialization: Adult Day Care

PECOS Registration: Yes

Address:
1001 POTRERO AVE
ADULT MEDICINE CLINIC 1M-3
SAN FRANCISCO, CA
ZIP 94110
Phone: (415) 206-8432
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DR. Wilson Oai Ly, PHARM.D. is an adult day care clinic center in San Francisco, CA with 5 years of experience. DR. Wilson Oai Ly, PHARM.D. NPI is 1063653582. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

1001 POTRERO AVE
ADULT MEDICINE CLINIC 1M-3
SAN FRANCISCO, CA
ZIP 94110-518
Phone: (415) 206-8432

The NPI 1063653582 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/12/2009 and was last updated on 3/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	59662	CALIFORNIA	No
2	282N00000X	General Acute Care Hospital		59662	CALIFORNIA	No
3	261QA0600X	Clinic/Center	Adult Day Care	59662	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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