Individual provider Active NPI

Ryan Dean Flanary, PHARMD.

  • Pharmacist
  • Owasso, OK
National Provider Identifier
1649740333
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13580 Issued in OK
Practice address
12802 E 86TH St N
Owasso, OK 74055-2552
Phone
(918) 272-2881
Fax
(918) 272-2883
NPI assigned
Nov 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13580 OK Primary

Addresses

Primary practice location

12802 E 86TH St N
Owasso, OK 74055-2552

Mailing address

12724 E 86TH St N
Owasso, OK 74055-2548
Phone (918) 272-2881

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

LicenseStateTypeSpecialty
13580OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Owasso Drug Company LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

12802 E 86th St N
Owasso, OK 74055
Phone (918) 272-2881

12724 E 86th St N
Owasso, OK 74055
Phone (918) 272-2881

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1649740333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12724 E 86TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552548",
            "telephone_number": "918-272-2881",
            "fax_number": "918-272-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12802 E 86TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552552",
            "telephone_number": "918-272-2881",
            "fax_number": "918-272-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANARY",
        "first_name": "RYAN",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-26",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "13580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.