John Frederick Ryskamp

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302029660 Issued in MI

Practice address

47060 W Pontiac TRL
Commerce TWP, MI 48390-4030

Phone

(248) 960-8297

Fax

(248) 960-8788

NPI assigned

Nov 26, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kroger Co of Michigan

  • Community/Retail Pharmacy
  • Commerce Township, MI
  • NPI 1164456927
  NPD (past)
• Kroger Co of Michigan

  • Community/Retail Pharmacy
  • Fenton, MI
  • NPI 1326917394
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1518503416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47060 W PONTIAC TRL",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483904030",
            "telephone_number": "248-960-8297",
            "fax_number": "248-960-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47060 W PONTIAC TRL",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483904030",
            "telephone_number": "248-960-8297",
            "fax_number": "248-960-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYSKAMP",
        "first_name": "JOHN",
        "middle_name": "FREDERICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302029660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Reinhardt, RD
• Richard W Sadowski
• Maureen Riley, CRNA
• Alan H. Rosenbaum, MD
• Lindsay Rutland, CPNP-PC
• Saad Elia Sabbagh, M.D.
• Saleh Family Medicine PLLC
• Stephen C. Schwartz, M.D.
• Bashar Essam Sedki, DDS
• Sarah Melissa Seiderman

• Pharmacist in Commerce TWP, MI
• Providers in Commerce TWP, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.