Active NPI
Ryan L Mezinger, RPH
- Pharmacist
- Lakewood, OH
National Provider Identifier
1710255807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03225319
- Practice address
- 11701 Detroit Ave
Lakewood, OH 44107-3041 - Phone
- (216) 227-1373
- NPI assigned
- Dec 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 03225319 | OH | Primary |
Addresses
Primary practice location
11701 Detroit Ave
Lakewood, OH 44107-3041
Mailing address
9574 Taberna LN
Olmsted Falls, OH 44138-4257
Phone (440) 476-2409
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 |
|---|---|---|---|
| 03225319 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1710255807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9574 TABERNA LN",
"city": "OLMSTED FALLS",
"state": "OH",
"postal_code": "441384257",
"telephone_number": "440-476-2409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11701 DETROIT AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441073041",
"telephone_number": "216-227-1373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEZINGER",
"first_name": "RYAN",
"middle_name": "L",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03225319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.