Active NPI
Ryan McGurrin, RPH
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1508587700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP457160
- Practice address
- 1617 John F Kennedy Blvd
Philadelphia, PA 19103-1821 - Phone
- (215) 561-1316
- NPI assigned
- Sep 6, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PI122242 | PA | |
| Pharmacist | 183500000X | RP457160 | PA | Primary |
Addresses
Primary practice location
1617 John F Kennedy Blvd
Philadelphia, PA 19103-1821
Mailing address
1452 Bethlehem Pike
Flourtown, PA 19031-2065
Phone (215) 836-0128
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PI122242 | PA | MD | Pharmacist |
| RP457160 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1508587700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1452 BETHLEHEM PIKE",
"city": "FLOURTOWN",
"state": "PA",
"postal_code": "190312065",
"telephone_number": "215-836-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 JOHN F KENNEDY BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191031821",
"telephone_number": "215-561-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGURRIN",
"first_name": "RYAN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "PI122242",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP457160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.