Active NPI
Rae Ann Ryan, PHARM. D
- Pharmacist
- Columbia, MS
National Provider Identifier
1528670148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E15976
- Practice address
- 1028 Highway 98 Byp
Columbia, MS 39429-9190 - Phone
- (601) 736-0368
- NPI assigned
- Aug 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | E15976 | MS | Primary |
Addresses
Primary practice location
1028 Highway 98 Byp
Columbia, MS 39429-9190
Mailing address
1028 Highway 98 Byp
Columbia, MS 39429-9190
Phone (601) 736-0368
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | RXM.13609@store.walgreens.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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E15976 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1028 Highway 98 Byp
Columbia, MS 39429
Phone (601) 736-0368
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1528670148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 HIGHWAY 98 BYP",
"city": "COLUMBIA",
"state": "MS",
"postal_code": "394299190",
"telephone_number": "601-736-0368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 HIGHWAY 98 BYP",
"city": "COLUMBIA",
"state": "MS",
"postal_code": "394299190",
"telephone_number": "601-736-0368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "RAE",
"middle_name": "ANN",
"credential": "PHARM. D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E15976",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "RXM.13609@store.walgreens.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1028 Highway 98 Byp",
"city": "Columbia",
"state": "MS",
"country_code": "US",
"postal_code": "394299190",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Columbia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.