NPIMap

Individual provider Active NPI

Ryan Rajter

  • Pharmacist
  • Plainwell, MI
National Provider Identifier
1093328825
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302038403 Issued in MI
Practice address
1277 M 89
Plainwell, MI 49080-1919
Phone
(269) 685-5623
Fax
(269) 685-5814
NPI assigned
Aug 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302038403 MI Primary

Addresses

Primary practice location

1277 M 89
Plainwell, MI 49080-1919

Mailing address

1277 M 89
Plainwell, MI 49080-1919
Phone (269) 685-5623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5302038403MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Oct 13, 2024 Accepting new patients
Walgreen Co PastSince Sep 6, 2020 Accepting new patients

Locations

1277 M 89
Plainwell, MI 49080
Phone (269) 685-5623

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.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1093328825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 M 89",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490801919",
            "telephone_number": "269-685-5623",
            "fax_number": "269-685-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 M 89",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490801919",
            "telephone_number": "269-685-5623",
            "fax_number": "269-685-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJTER",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302038403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainwell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.