Ryan Wade

Primary specialty

PharmacistTaxonomy code 183500000X

License

059560 Issued in NY

Practice address

6272 State Route 9
Chestertown, NY 12817-2822

Phone

(518) 494-3211

NPI assigned

Jul 30, 2014

Last updated

Apr 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1346658606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6272 STATE ROUTE 9",
            "city": "CHESTERTOWN",
            "state": "NY",
            "postal_code": "128172822",
            "telephone_number": "518-494-3211",
            "fax_number": "518-494-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6272 STATE ROUTE 9",
            "city": "CHESTERTOWN",
            "state": "NY",
            "postal_code": "128172822",
            "telephone_number": "518-494-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-30",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "059560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346658606",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "walgreens",
            "affiliation": "N",
            "address_1": "6272 State Route 9",
            "city": "Chestertown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128172822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• North Warren Emergency Squad Inc
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• Jill Marlise Primeau, O.T.
• John K Rugge, MD
• Lindsay Marie Swan, FNP
• Walgreen Co (Walgreens #19965)
• Andrea Winchip, CCC-SLP

• Pharmacist in Chestertown, NY
• Providers in Chestertown, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.