Ryan Guy Croasdale

Primary specialty

PharmacistTaxonomy code 183500000X

License

3795 Issued in NH

Practice address

372B N State St
Concord, NH 03301-3263

Phone

(603) 660-1023

NPI assigned

Aug 11, 2023

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1083397392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372B N STATE ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013263",
            "telephone_number": "603-660-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372B N STATE ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013263",
            "telephone_number": "603-660-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROASDALE",
        "first_name": "RYAN",
        "middle_name": "GUY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "3795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Concord, NH
• Providers in Concord, NH by specialty
• Pharmacist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.