Active NPI
Noelle J Ryan, RPH.
- Pharmacist
- Smithtown, NY
National Provider Identifier
1679759427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043944
- Practice address
- 712 Smithtown Byp
Smithtown, NY 11787-5004 - Phone
- (631) 979-3404
- Fax
- (631) 979-3649
- NPI assigned
- Jan 10, 2008
- Last updated
- Dec 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 043944 | NY | Primary |
Addresses
Primary practice location
712 Smithtown Byp
Smithtown, NY 11787-5004
Mailing address
712 Smithtown Byp
Smithtown, NY 11787-5004
Phone (631) 979-3404
Other practice location 1
1598 Union Tpke
New Hyde Park, NY 11040-1762
Phone (516) 616-0482
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043944 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Duane Reade | Past | Accepting new patients | |
| Duane Reade | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
712 Smithtown Byp
Smithtown, NY 11787
Phone (631) 979-3404
Organizations & group practices 4
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.
-
- Pharmacy
- Smithtown, NY
- NPI 1619164811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672444800000",
"number": "1679759427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 SMITHTOWN BYP",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117875004",
"telephone_number": "631-979-3404",
"fax_number": "631-979-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 SMITHTOWN BYP",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117875004",
"telephone_number": "631-979-3404",
"fax_number": "631-979-3649"
}
],
"practiceLocations": [
{
"address_1": "1598 Union Tpke",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110401762",
"country_code": "US",
"telephone_number": "516-616-0482",
"fax_number": "516-616-0489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYAN",
"first_name": "NOELLE",
"middle_name": "J",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-10",
"last_updated": "2022-12-31",
"certification_date": "2022-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "043944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.