Individual provider Active NPI

Ryan Volgyi

  • Pharmacist
  • Warren, MI
National Provider Identifier
1609492032
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302042822 Issued in MI
Practice address
22950 Van Dyke Ave
Warren, MI 48089-2346
Phone
(586) 759-1391
Fax
(586) 759-4347
NPI assigned
Jun 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302042822 MI Primary

Addresses

Primary practice location

22950 Van Dyke Ave
Warren, MI 48089-2346

Mailing address

22950 Van Dyke Ave
Warren, MI 48089-2346
Phone (586) 759-1391

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RXM.04512@store.walgreens.com Direct WALGREEN CO

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

LicenseStateTypeSpecialty
5302042822MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Jun 28, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rxm.04512@store.walgreens.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1609492032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22950 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892346",
            "telephone_number": "586-759-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22950 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892346",
            "telephone_number": "586-759-1391",
            "fax_number": "586-759-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLGYI",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302042822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RXM.04512@store.walgreens.com",
            "affiliation": "Y",
            "affiliationName": "WALGREEN CO",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22950 Van Dyke Ave",
            "city": "Warren",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480892346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.