Active NPI
Christy Ryan, RPH
- Pharmacist
- Woodburn, OR
National Provider Identifier
1275164568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0009274
- Practice address
- 1475 Mount Hood Ave
Woodburn, OR 97071-9066 - Phone
- (971) 983-5290
- Fax
- (971) 216-0090
- NPI assigned
- Jan 27, 2020
- Sex
- Female
- 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 | RPH-0009274 | OR | Primary |
Addresses
Primary practice location
1475 Mount Hood Ave
Woodburn, OR 97071-9066
Mailing address
1475 Mount Hood Ave
Woodburn, OR 97071-9066
Phone (971) 983-5290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH-0009274 | Other | OR | OREGON RPH LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | LSH.org | Direct |
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 |
|---|---|---|---|
| RPH-0009274 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1275164568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 MOUNT HOOD AVE",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970719066",
"telephone_number": "971-983-5290",
"fax_number": "971-216-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 MOUNT HOOD AVE",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970719066",
"telephone_number": "971-983-5290",
"fax_number": "971-216-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "CHRISTY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-27",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0009274",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON RPH LICENSE",
"identifier": "RPH-0009274",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "LSH.org",
"affiliation": "N",
"endpointDescription": "Legacy",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1475 Mount Hood Ave",
"city": "Woodburn",
"state": "OR",
"country_code": "US",
"postal_code": "970719066",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Woodburn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.