Individual provider Active NPI

Debra Lynn Ryan, REGISTERED PHARMACIS

  • Pharmacist
  • Silver Spring, MD
National Provider Identifier
1306631015
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202207384 Issued in VA
Practice address
10903 New Hampshire Avenue
Building 22 Room 3430
Silver Spring, MD 20993-0002
Phone
(301) 796-4225
NPI assigned
Apr 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202207384 VA Primary

Addresses

Primary practice location

10903 New Hampshire Avenue
Building 22 Room 3430
Silver Spring, MD 20993-0002

Mailing address

4628 Buckhorn RDG
Fairfax, VA 22030-6171
Phone (571) 426-6595

Other names 1

  • Debra Lynn Dominguez Former name

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

State licenses

LicenseStateTypeSpecialty
0202207384VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1744416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1306631015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4628 BUCKHORN RDG",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306171",
            "telephone_number": "571-426-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 NEW HAMPSHIRE AVENUE",
            "address_2": "BUILDING 22 ROOM 3430",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209930002",
            "telephone_number": "301-796-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "credential": "REGISTERED PHARMACIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-12",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202207384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "DOMINGUEZ",
            "middle_name": "LYNN",
            "credential": "REGISTERED PHARMACIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2025; 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.