Ryan Patrick Kelley, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH05793 Issued in RI

Practice address

203 Main St
Wakefield, RI 02879-3557

Phone

(401) 307-2555

Fax

(401) 783-0045

NPI assigned

May 13, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Green Line Apothecary LLC

  • Community/Retail Pharmacy
  • Wakefield, RI
  • NPI 1023483336
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526169600000",
    "number": "1003306382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 KAY ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402724",
            "telephone_number": "401-439-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MAIN ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793557",
            "telephone_number": "401-307-2555",
            "fax_number": "401-783-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-13",
        "last_updated": "2018-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH05793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee S Katz, MT
• Laurie B Kaufman, PH.D.
• Jennifer Leigh Kaye, DPT
• Thomas J. Keenan, M.D.
• Corinne Keene
• Lindsey Zubrow Kelly, MS, CCC-SLP
• Michael Kennedy, LCDP
• Joanne Kenyon, RN
• Anne Kimpton, PT
• Jon Kimpton, PH.D.

• Pharmacist in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Pharmacist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.