NPIMap

Individual provider Active NPI

Gary Cyran, RPH

  • Pharmacist
  • Henderson, NC
National Provider Identifier
1275865362
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24859 Issued in NC
Practice address
1419 E Andrews Ave
Henderson, NC 27536-5202
Phone
(252) 762-0156
Fax
(252) 762-0159
NPI assigned
Feb 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24859 NC Primary
Pharmacist 183500000X 044918 NY

Addresses

Primary practice location

1419 E Andrews Ave
Henderson, NC 27536-5202

Mailing address

1419 E Andrews Ave
Henderson, NC 27536-5202
Phone (252) 762-0156

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

LicenseStateTypeSpecialty
24859NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Food Lion, LLC Past Accepting new patients
Food Lion, LLC Past 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": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1275865362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 E ANDREWS AVE",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365202",
            "telephone_number": "252-762-0156",
            "fax_number": "252-762-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 E ANDREWS AVE",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365202",
            "telephone_number": "252-762-0156",
            "fax_number": "252-762-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYRAN",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-01",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "24859",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.