Ryan Cheoun
Individual provider Active NPI Pharmacist · Leonardtown, MD
NPI 1245644251 · NPPES record last updated Jun 17, 2014
Key facts
- NPI
- 1245644251
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 21765 (MD)
- Practice address
- 26020 Point Lookout Rd
Leonardtown, MD 20650-2001 - Phone
- (301) 475-8917
- Fax
- (301) 997-0054
- NPI assigned
- Jun 17, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21765 | MD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21765 | MD | Yes |
Addresses
Primary practice location
26020 Point Lookout Rd
Leonardtown, MD 20650-2001
Mailing address
26020 Point Lookout Rd
Leonardtown, MD 20650-2001
Phone (301) 475-8917
Other providers in Leonardtown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2014. 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.