Active NPI
Ryann Telian Rose, PHARM.D.
- Pharmacist
- Johnson City, NY
National Provider Identifier
1336596865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I058518
- Practice address
- 345 Main St
Johnson City, NY 13790-2050 - Phone
- (607) 729-6549
- Fax
- (607) 729-5546
- NPI assigned
- May 13, 2016
- Last updated
- Nov 25, 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 | I058518 | NY | Primary |
Addresses
Primary practice location
345 Main St
Johnson City, NY 13790-2050
Mailing address
345 Main St
Johnson City, NY 13790-2050
Phone (607) 729-6549
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RX00562@cvshealth.com | 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I058518 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients |
Interoperability endpoints
- rx00562@cvshealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1336596865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 MAIN ST",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902050",
"telephone_number": "607-729-6549",
"fax_number": "607-729-5546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 MAIN ST",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902050",
"telephone_number": "607-729-6549",
"fax_number": "607-729-5546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "RYANN",
"middle_name": "TELIAN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-13",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I058518",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "RX00562@cvshealth.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "345 Main St",
"city": "Johnson City",
"state": "NY",
"country_code": "US",
"postal_code": "137902050",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Johnson City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.