Ryan Quinn Palajsa, PHARMD

Key facts

NPI

1003460643

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

RP453606 (PA)

Practice address

4155 Ewalt Rd
Gibsonia, PA 15044-7513

Phone

(724) 449-8080

NPI assigned

Jul 31, 2019

Sex

Male

Sole proprietor

No

Organizations & group practices 2

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.

• Rite Aid of Pennsylvania LLC Community/Retail Pharmacy · Clearfield, PA · NPI 1508431081
  NPD (past)
• Rite Aid of Pennsylvania, LLC Community/Retail Pharmacy · Gibsonia, PA · NPI 1992856975
  NPD (past)

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

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 31, 2019.

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1003460643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 COUNTRYSIDE DR",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151013934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 EWALT RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150447513",
            "telephone_number": "724-449-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAJSA",
        "first_name": "RYAN",
        "middle_name": "QUINN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RPI013177",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP453606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Gibsonia, PA · Pharmacist in Pennsylvania