Individual provider Active NPI

Ryan Healey

  • Pharmacist
  • Fort Mill, SC
National Provider Identifier
1144693458
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11917 Issued in SC
Practice address
1151 Stonecrest Blvd
Fort Mill, SC 29708-6555
Phone
(803) 578-4120
Fax
(803) 578-4122
NPI assigned
Nov 9, 2015
Last updated
Nov 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11917 SC Primary

Addresses

Primary practice location

1151 Stonecrest Blvd
Fort Mill, SC 29708-6555

Mailing address

1151 Stonecrest Blvd
Fort Mill, SC 29708-6555
Phone (803) 578-4120

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

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1144693458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 STONECREST BLVD",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086555",
            "telephone_number": "803-578-4120",
            "fax_number": "803-578-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 STONECREST BLVD",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086555",
            "telephone_number": "803-578-4120",
            "fax_number": "803-578-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALEY",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "11917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.