Ryan Rabon, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

007978 Issued in GA

Legal business name

RYAN RABON, INC.

Practice address

760 Paulding PLZ
Dallas, GA 30132-5028

Phone

(770) 445-6422

Fax

(770) 443-0180

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Michael O'Neal Martin, RPH

Title

Owner Pharmacist

Phone

(770) 445-6422

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Medicine Shoppe #1427 Doing business as

Locations

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1376608133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 PAULDING PLZ",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325028",
            "telephone_number": "770-445-6422",
            "fax_number": "770-443-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 PAULDING PLZ",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325028",
            "telephone_number": "770-445-6422",
            "fax_number": "770-443-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN RABON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "O'NEAL",
        "authorized_official_title_or_position": "OWNER  PHARMACIST",
        "authorized_official_telephone_number": "770-445-6422",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "007978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "1142532",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe #1427",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Roscoe
• Rosemills Counseling and Consulting Services, LLC
• Kenneth Rowell, CAC II
• Natalie Rowell, NP
• Nathan Rowland
• Sagrada Ambulance LLC
• Naomi Saint Cilien
• Linsie Saint Jean
• Salisbury Physical Therapy, LLC
• Jason Salisbury, PT, DPT

• Pharmacy in Dallas, GA
• Providers in Dallas, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.