Individual provider Active NPI

Ryan Bausch, PHARM.D

  • Pharmacist
  • Coral Springs, FL
National Provider Identifier
1710224894
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS49658 Issued in FL
Practice address
10701 Wiles Rd
Coral Springs, FL 33076-2014
Phone
(954) 227-0177
Fax
(954) 688-4394
NPI assigned
Jan 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS49658 FL Primary

Addresses

Primary practice location

10701 Wiles Rd
Coral Springs, FL 33076-2014

Mailing address

10701 Wiles Rd
Coral Springs, FL 33076-2014
Phone (954) 227-0177

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
PS49658FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1710224894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762014",
            "telephone_number": "954-227-0177",
            "fax_number": "954-688-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762014",
            "telephone_number": "954-227-0177",
            "fax_number": "954-688-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUSCH",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.