Ryan Michael Taylor, PHARMD
Individual provider Active NPI Pharmacist · Germantown Hills, IL
NPI 1154553790 · NPPES record last updated Aug 16, 2009
Key facts
- NPI
- 1154553790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051288433 (IL)
- Practice address
- 209 Jerry Ave
Germantown Hills, IL 61548-9262 - Phone
- (309) 383-2301
- NPI assigned
- Aug 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051288433 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051288433 | IL | Yes |
Addresses
Primary practice location
209 Jerry Ave
Germantown Hills, IL 61548-9262
Mailing address
209 Jerry Ave
Germantown Hills, IL 61548-9262
Phone (309) 383-2301
Other providers in Germantown Hills, IL
- Brent Rassi
- Restoration Counseling PLLC
- Lauren N Stein
- Madison Elaine Stewart
- Stronger Every Day-Soul Mind and Body, LLC
- Theraviv Wellness PLLC
All providers in Germantown Hills, IL · Pharmacist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.