Ryan Waltzer, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

033.0133509 Issued in VT

Practice address

420 Grove St
Brandon, VT 05733-9062

Phone

(802) 465-0011

NPI assigned

Apr 15, 2021

Last updated

Apr 15, 2021By 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

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.

• Community Health Centers of the Rutland Region

  dba Community Health Pharmacy Rutland

  • Community/Retail Pharmacy
  • Rutland, VT
  • NPI 1689473399
  NPD Authorized official

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1174104723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 BENEDICT LN UNIT A",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531391",
            "telephone_number": "508-272-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 GROVE ST",
            "city": "BRANDON",
            "state": "VT",
            "postal_code": "057339062",
            "telephone_number": "802-465-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "863 Harvest Ln",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "VT",
            "postal_code": "054957319",
            "country_code": "US",
            "telephone_number": "802-878-5233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTZER",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0133509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken D Smith, M.A., LCMHC, LADC
• Todd Joseph Smith, AGPCNP-C
• Courtney Lee Stearns, MA
• Elizabeth D.C. Taylor, MS
• Walgreen Co (Walgreens #18265)
• Carrie C Weigand, MD
• Abigail Stanton Wikoff, NP
• Wintergreen Residential Care, LLC
• WM Brown Pharmacy, Inc (Brown's Pharmacy)

• Pharmacist in Brandon, VT
• Providers in Brandon, VT by specialty
• Pharmacist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.