Active NPI
Ryan Lenz
- Pharmacist
- Bellevue, WA
National Provider Identifier
1427661107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60477580
- Practice address
- 15585 NE 24TH St
Bellevue, WA 98007-3836 - Phone
- (425) 643-8281
- NPI assigned
- Aug 24, 2020
- Sex
- Male
- 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 | PH60477580 | WA | Primary |
Addresses
Primary practice location
15585 NE 24TH St
Bellevue, WA 98007-3836
Mailing address
2331 130TH Ave NE Ste 200
Bellevue, WA 98005-1760
Phone (425) 885-6685
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60477580 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1427661107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2331 130TH AVE NE STE 200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051760",
"telephone_number": "425-885-6685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15585 NE 24TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980073836",
"telephone_number": "425-643-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENZ",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60477580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.