Active NPI
William Jeff Ryan
- Pharmacist
- Harrison, AR
National Provider Identifier
1447851100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD07815
- Practice address
- 161 N Walmart Dr
Harrison, AR 72601-1960 - Phone
- (870) 741-2327
- Fax
- (870) 741-4115
- NPI assigned
- Nov 7, 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 | PD07815 | AR | Primary |
Addresses
Primary practice location
161 N Walmart Dr
Harrison, AR 72601-1960
Mailing address
161 N Walmart Dr
Harrison, AR 72601-1960
Phone (870) 741-2327
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | WJRYAN.s00002@US.wal-mart.com | Direct | |
| CONNECT URL | WJRYAN.s00002@US.wa;-mart.com | Direct |
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 |
|---|---|---|---|
| PD07815 | AR | MD | Pharmacist |
Interoperability endpoints
- wjryan.s00002@us.wal-mart.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604707200000",
"number": "1447851100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 N WALMART DR",
"city": "HARRISON",
"state": "AR",
"postal_code": "726011960",
"telephone_number": "870-741-2327",
"fax_number": "870-741-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 N WALMART DR",
"city": "HARRISON",
"state": "AR",
"postal_code": "726011960",
"telephone_number": "870-741-2327",
"fax_number": "870-741-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "WILLIAM",
"middle_name": "JEFF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-07",
"last_updated": "2020-11-07",
"certification_date": "2020-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD07815",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "WJRYAN.s00002@US.wal-mart.com",
"affiliation": "N",
"endpointDescription": "Walmart Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "161 N Walmart Dr",
"city": "Harrison",
"state": "AR",
"country_code": "US",
"postal_code": "726011960",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "WJRYAN.s00002@US.wa;-mart.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "161 N Walmart Dr",
"city": "Harrison",
"state": "AR",
"country_code": "US",
"postal_code": "726011960",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.