Individual provider Active NPI

Ryan David Oftebro, PHARM.D.

  • Pharmacist
  • Seattle, WA
National Provider Identifier
1679560882
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
00052708 Issued in WA
Practice address
616 Olive Way
Seattle, WA 98101-1717
Phone
(206) 622-3565
Fax
(206) 382-9727
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 00052708 WA Primary

Addresses

Primary practice location

616 Olive Way
Seattle, WA 98101-1717

Mailing address

616 Olive Way
Seattle, WA 98101-1717
Phone (206) 622-3565

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
00052708WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelley-Ross & Assoc Inc Past Accepting new patients
Kelley-Ross & Assoc Inc Past Accepting new patients

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679560882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 OLIVE WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011717",
            "telephone_number": "206-622-3565",
            "fax_number": "206-382-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 OLIVE WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011717",
            "telephone_number": "206-622-3565",
            "fax_number": "206-382-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFTEBRO",
        "first_name": "RYAN",
        "middle_name": "DAVID",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "00052708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.