Ryan Ko, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

71214 Issued in CA

Practice address

300 Fir St
San Diego, CA 92101-2393

Phone

(619) 446-1512

Fax

(619) 544-0677

NPI assigned

Sep 5, 2014

Sex

Male

Sole proprietor

Yes

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

Registered Pharmacist

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.

• Vons Companies Inc

  • Community/Retail Pharmacy
  • San Diego, CA
  • NPI 1083645899
  NPD (past)
• Vons Companies Inc

  • Community/Retail Pharmacy
  • Santa Monica, CA
  • NPI 1720879919
  NPD (past)

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1679974091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16350 VERIDIAN CIR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921276205",
            "telephone_number": "714-235-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FIR ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012393",
            "telephone_number": "619-446-1512",
            "fax_number": "619-544-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-05",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "71214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Ko
• Heeseon Ko, D.D.S.
• Ji Eun Ko, MS
• Jordan Ko, PHD
• Reisa Ko
• Yi-Chun Ko, DTCM, L.AC
• Danielle Kobata
• Kyohei Kobayashi
• Leslie M Kobayashi, M.D.
• Marc E Kobernick, MD

• Pharmacist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.