Organization Active NPI

Ryan's Pharmacy

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1104037548
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH02239 Issued in NV
Legal business name
RYAN'S PHARMACY
Practice address
150 E Harmon Ave
Las Vegas, NV 89109-4533
Phone
(702) 650-0445
Fax
(702) 650-0615
NPI assigned
May 25, 2007
Last updated
Feb 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Mr. Ryan Obregon, RPH
Title
President, Owner
Phone
(323) 707-6707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 15925 NV
Community/Retail Pharmacy 3336C0003X PH02239 NV Primary

Addresses

Primary practice location

150 E Harmon Ave
Las Vegas, NV 89109-4533

Mailing address

150 E Harmon Ave
Las Vegas, NV 89109
Phone (702) 650-0445

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1104037548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E HARMON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89109",
            "telephone_number": "702-650-0445",
            "fax_number": "702-650-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E HARMON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891094533",
            "telephone_number": "702-650-0445",
            "fax_number": "702-650-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "OBREGON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "323-707-6707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "15925",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH02239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.