Ryan Hines, PHARMD
Individual provider Active NPI Pharmacist · Laurel, DE
NPI 1003361809 · NPPES record last updated Aug 22, 2016
Key facts
- NPI
- 1003361809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- A10004983 (DE)
- Practice address
- 30182 Sussex Hwy Unit 1
Laurel, DE 19956-3884 - Phone
- (302) 875-8560
- NPI assigned
- Aug 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A10004983 | DE | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24404 | MD | |
| Pharmacist | 183500000X | A10004983 | DE | Yes |
Addresses
Primary practice location
30182 Sussex Hwy Unit 1
Laurel, DE 19956-3884
Mailing address
30182 Sussex Hwy Unit 1
Laurel, DE 19956-3884
Phone (302) 875-8560
Other providers in Laurel, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.