Bryan Kirk Ridgley, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

117581 Issued in MN

Practice address

2471 310TH Ave
Mahnomen, MN 56557

Phone

(218) 935-2238

Fax

(218) 935-5085

NPI assigned

May 17, 2007

Last updated

Aug 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Naytahwaush Health Center

  dba White Earth Health Center

  • Federal Public Health Clinic/Center
  • Mahnomen, MN
  • NPI 1740202308
  NPD
• Coborns Inc

  dba Coborn's Pharmacy #2030

  • Community/Retail Pharmacy
  • Park Rapids, MN
  • NPI 1720150493
  NPD (past)
• White Earth Indian Health Center

  dba White Earth Health Center

  • Federal Public Health Clinic/Center
  • Ogema, MN
  • NPI 1093761710
  NPD (past)
• Coborns Inc

  dba Kessler Pharmacy

  • Community/Retail Pharmacy
  • Aberdeen, SD
  • NPI 1639966286
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1154538098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 310TH AVE",
            "city": "MAHNOMEN",
            "state": "MN",
            "postal_code": "56557",
            "telephone_number": "218-935-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 310TH AVE",
            "city": "MAHNOMEN",
            "state": "MN",
            "postal_code": "56557",
            "telephone_number": "218-935-2238",
            "fax_number": "218-935-5085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40520 County Highway 34",
            "address_purpose": "LOCATION",
            "city": "Ogema",
            "state": "MN",
            "postal_code": "565699612",
            "country_code": "US",
            "telephone_number": "218-983-4300",
            "fax_number": "218-983-6384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDGLEY",
        "first_name": "BRYAN",
        "middle_name": "KIRK",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "117581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Neis, PT, DPT
• Tawnia Ann Netland, APRN CNP
• Tamera Ostenaa, APRN, CNP
• Michael Parsons, RPT
• Susan Marie Putnam
• Gretchen Bea Rockstad, LRD
• Sanford Medical Center Fargo (Sanford Health Mahnomen Clinic)
• Macey Schaefbauer, PA-C
• Naomi Schwede
• St. Mary's Regional Health Center (Essentia Health St. Mary's - Mahnomen Clinic)

• Pharmacist in Mahnomen, MN
• Providers in Mahnomen, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.