Individual provider Active NPI

Caroline Ryan

  • Pharmacist
  • Huntersville, NC
National Provider Identifier
1114404662
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28138 Issued in NC
Practice address
16715 Old Statesville Rd
Huntersville, NC 28078-9583
Phone
(704) 655-2730
NPI assigned
Jul 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28138 NC Primary

Addresses

Primary practice location

16715 Old Statesville Rd
Huntersville, NC 28078-9583

Mailing address

360 S Graham St Apt 516
Charlotte, NC 28202-3243
Phone (914) 260-9597

Other practice location 1

360 S Graham St Apt 516
Charlotte, NC 28202-3243
Phone (914) 260-9597

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
28138NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1114404662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S GRAHAM ST APT 516",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023243",
            "telephone_number": "914-260-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16715 OLD STATESVILLE RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789583",
            "telephone_number": "704-655-2730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 S Graham St Apt 516",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282023243",
            "country_code": "US",
            "telephone_number": "914-260-9597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "28138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.