Active NPI
Ryan James Manning
- Pharmacist
- Layton, UT
National Provider Identifier
1144911082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8772309-1701
- Practice address
- 1171 W 2000 N
Layton, UT 84041-1638 - Phone
- (801) 614-1302
- NPI assigned
- May 19, 2023
- Last updated
- May 19, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 8772309-1701 | UT | Primary |
Addresses
Primary practice location
1171 W 2000 N
Layton, UT 84041-1638
Mailing address
3577 Iowa Ave
Ogden, UT 84403-2159
Phone (801) 540-9643
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8772309-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1171 W Antelope Dr
Layton, UT 84041
Phone (801) 599-9161
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1144911082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3577 IOWA AVE",
"city": "OGDEN",
"state": "UT",
"postal_code": "844032159",
"telephone_number": "801-540-9643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1171 W 2000 N",
"city": "LAYTON",
"state": "UT",
"postal_code": "840411638",
"telephone_number": "801-614-1302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "RYAN",
"middle_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-19",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "8772309-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.