Active NPI
Robert Russell Ryan, RPH
- Pharmacist
- Sea Cliff, NY
National Provider Identifier
1164744041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 040135
- Practice address
- 7 Harbor Way
Sea Cliff, NY 11579-2125 - Phone
- (516) 671-0955
- NPI assigned
- Feb 19, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 040135 | NY | Primary |
Addresses
Primary practice location
7 Harbor Way
Sea Cliff, NY 11579-2125
Mailing address
3161 Bainbridge Ave
Bronx, NY 10467-3907
Phone (718) 547-8888
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040135 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lesell Drugs Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1164744041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3161 BAINBRIDGE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104673907",
"telephone_number": "718-547-8888",
"fax_number": "718-405-1877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 HARBOR WAY",
"city": "SEA CLIFF",
"state": "NY",
"postal_code": "115792125",
"telephone_number": "516-671-0955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "ROBERT",
"middle_name": "RUSSELL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "040135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sea Cliff, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.