Individual provider Active NPI

Ryan Hunter Brandeberry

  • Pharmacist
  • Toledo, OH
National Provider Identifier
1124553821
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03135828 Issued in OH
Practice address
1415 S Byrne Rd
Toledo, OH 43614-2316
Phone
(419) 382-2385
NPI assigned
May 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03135828 OH Primary

Addresses

Primary practice location

1415 S Byrne Rd
Toledo, OH 43614-2316

Mailing address

5950 Cedar Point Rd
Oregon, OH 43616-5878
Phone (419) 309-0173

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
03135828OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Co Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rbrandeberry262323@direct.bsmhealth.org

Organizations & group practices 1

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": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1124553821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 CEDAR POINT RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436165878",
            "telephone_number": "419-309-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 S BYRNE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142316",
            "telephone_number": "419-382-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDEBERRY",
        "first_name": "RYAN",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03135828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.