Organization Active NPI

Harold Ryan Pharmacy Inc

Doing business as Ryan Pharmacy

  • Pharmacist
  • Bloomington, IL
National Provider Identifier
1427022474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.