Teagan Mary Ryan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051295147 Issued in IL

Practice address

2703 Stevenson Dr
Springfield, IL 62703-4427

Phone

(217) 529-5468

Fax

(217) 529-5270

NPI assigned

Nov 26, 2020

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

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.

• Highland Park CVS, L.L.C.

  • Pharmacy
  • Springfield, IL
  • NPI 1558464321
  NPD (past)

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

{
    "created_epoch": "1606348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1629672902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 ELISHA TRL",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116382",
            "telephone_number": "217-652-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 STEVENSON DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034427",
            "telephone_number": "217-529-5468",
            "fax_number": "217-529-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "TEAGAN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-26",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051295147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher D. Ryan, M.D.
• Daniel Ryan, MD
• Monica Ryan, OD
• Sean Robert Ryan, DMD
• Stephen M. Ryan, M.D.
• Leonard P Rybak, M.D.
• Allyn Ryder, MSOTRL
• Zachary Ryder, CGC, MS
• S David Ross II SC
• Angela Sa-Amar Saab, MD

• Pharmacist in Springfield, IL
• Providers in Springfield, IL by specialty
• Pharmacist in Illinois

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

Verify at the official NPI Registry.