Active NPI
Ryan Feagan, PHARM.D
- Pharmacist
- Joplin, MO
National Provider Identifier
1144470402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2007021856
- Practice address
- 1410 E 7TH St
Joplin, MO 64801-2045 - Phone
- (417) 624-3270
- Fax
- (417) 623-0652
- NPI assigned
- Sep 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2007021856 | MO | Primary |
| Pharmacist | 183500000X | 114174 | KS |
Addresses
Primary practice location
1410 E 7TH St
Joplin, MO 64801-2045
Mailing address
1410 E 7TH St
Joplin, MO 64801-2045
Phone (417) 624-3270
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 |
|---|---|---|---|
| 114174 | KS | MD | Pharmacist |
| 2007021856 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1144470402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 E 7TH ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648012045",
"telephone_number": "417-624-3270",
"fax_number": "417-623-0652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 E 7TH ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648012045",
"telephone_number": "417-624-3270",
"fax_number": "417-623-0652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEAGAN",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2007021856",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "114174",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.