Active NPI
Danielle Marie Ryan, PHARMD
- Pharmacist
- Port Orange, FL
National Provider Identifier
1134501919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS53291
- Practice address
- 740 Dunlawton Ave Ste 150
Port Orange, FL 32127-4240 - Phone
- (386) 767-0563
- NPI assigned
- Jun 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS53291 | FL | Primary |
Addresses
Primary practice location
740 Dunlawton Ave Ste 150
Port Orange, FL 32127-4240
Mailing address
120 Sweetwater TRL
Bunnell, FL 32110-7899
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS53291 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Past | Accepting new patients | |
| Florida Health Care Plan, Inc | Past | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Managed Care Organization Pharmacy
- Port Orange, FL
- NPI 1164546875
-
- Pharmacy
- Flagler Beach, FL
- NPI 1346484532
-
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1760356380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1134501919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 SWEETWATER TRL",
"city": "BUNNELL",
"state": "FL",
"postal_code": "321107899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 DUNLAWTON AVE STE 150",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274240",
"telephone_number": "386-767-0563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "DANIELLE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-29",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS53291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.