Ryan Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009555 Issued in MI

Legal business name

RYAN PHARMACY

Practice address

23421 Ryan Rd
Warren, MI 48091-1927

Phone

(586) 755-0040

Fax

(586) 755-0044

NPI assigned

Apr 19, 2011

Organization subpart

No

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

Authorized official

Name

Rula Yacoub

Title

Pharmacist

Phone

(586) 755-0040

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ryan Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1134419583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23421 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911927",
            "telephone_number": "586-755-0040",
            "fax_number": "586-755-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23421 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911927",
            "telephone_number": "586-755-0040",
            "fax_number": "586-755-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "RULA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "586-755-0040"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2375409",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ryan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Marie Rust, D.O.
• Ryan Dental Group
• Ryan Medical
• Ryan Medical Equipment, Inc
• Ryan Medical Services
• Ryan RX LLC
• Daniel Martin Ryan, MD
• John B Ryan, M.D.
• Mark Thomas Ryan, D.O.
• Nicole Marie Ryan, LMSW

• Community/Retail Pharmacy in Warren, MI
• Providers in Warren, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.