Individual provider Active NPI

Ryan Jamison Motte, PHARMD

  • Pharmacist
  • Waxhaw, NC
National Provider Identifier
1245682012
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25992 Issued in NC
Practice address
10012 Weiss Way
Waxhaw, NC 28173-0800
Phone
(704) 321-2694
Fax
(704) 443-9033
NPI assigned
Jul 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25992 NC Primary

Addresses

Primary practice location

10012 Weiss Way
Waxhaw, NC 28173-0800

Mailing address

10418 Ebbets Rd
Charlotte, NC 28273-4358
Phone (252) 414-0104

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
25992NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid Diagnostics, LLC. Pharmacist Current Accepting new patients
Rapid Diagnostics, LLC Current Accepting new patients

Organizations & group practices 2

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": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1245682012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10418 EBBETS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734358",
            "telephone_number": "252-414-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 WEISS WAY",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730800",
            "telephone_number": "704-321-2694",
            "fax_number": "704-443-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTE",
        "first_name": "RYAN",
        "middle_name": "JAMISON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "25992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

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