Ryan Ades
Individual provider Active NPI Pharmacotherapy Pharmacist · Fort Wayne, IN
NPI 1588076863 · NPPES record last updated May 21, 2014
Key facts
- NPI
- 1588076863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacotherapy Pharmacist 1835P1200X
- License
- 26024052A (IN)
- Practice address
- 6309 Lima Rd
Fort Wayne, IN 46818-1425 - Phone
- (260) 497-1010
- Fax
- (260) 497-1065
- NPI assigned
- May 21, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26024052A | IN | MD | Pharmacotherapy Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 26024052A | IN | Yes |
Addresses
Primary practice location
6309 Lima Rd
Fort Wayne, IN 46818-1425
Mailing address
10728 Alderwood LN
Fort Wayne, IN 46845-1004
Other providers in Fort Wayne, IN
- Mark Robert Adang
- Adaptive Nursing and Healthcare Services, Inc.
- Dorothea Addo
- John Addo
- Brooke Adelsperger
- Oluremi C Adesida
- Farrukh M Adhami
- Yazan Adhami
- Kripa Adhikari
- Frank Adjei
All providers in Fort Wayne, IN · Pharmacotherapy Pharmacist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.