Active NPI
Harold Ryan Pharmacy Inc
Doing business as Ryan Pharmacy
- Pharmacist
- Bloomington, IL
National Provider Identifier
1427022474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Legal business name
- HAROLD RYAN PHARMACY INC
- Doing business as
- Ryan Pharmacy
- Practice address
- 1118 E Oakland Ave
Bloomington, IL 61701-5524 - Phone
- (309) 828-4813
- Fax
- (309) 828-4922
- NPI assigned
- Feb 15, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donald Lynn Webber
- Title
- Owner
- Phone
- (309) 828-4813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IL | Primary |
Addresses
Primary practice location
1118 E Oakland Ave
Bloomington, IL 61701-5524
Mailing address
1118 E Oakland Ave
Bloomington, IL 61701-5524
Phone (309) 828-4813
Other names 1
- Ryan Pharmacy
National Provider Directory
National Provider DirectoryLocations
1118 E Oakland Ave
Bloomington, IL 61701
Phone (309) 828-4813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1427022474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 E OAKLAND AVE",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617015524",
"telephone_number": "309-828-4813",
"fax_number": "309-828-4922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 E OAKLAND AVE",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617015524",
"telephone_number": "309-828-4813",
"fax_number": "309-828-4922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAROLD RYAN PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WEBBER",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "309-828-4813",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ryan Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.