Individual provider Active NPI

Ryan Kent Summers, PHARM.D.

  • Pharmacist
  • Clinton, MO
National Provider Identifier
1720076037
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2005017351 Issued in MO
Practice address
605 Pawnee St
Clinton, MO 64735-2757
Phone
(660) 885-3034
Fax
(660) 885-5888
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2005017351 MO Primary

Addresses

Primary practice location

605 Pawnee St
Clinton, MO 64735-2757

Mailing address

57 NW 241St Rd
Clinton, MO 64735-8941
Phone (660) 351-0602

Other practice location 1

913 W Fort Scott St
Butler, MO 64730-1204
Phone (660) 679-5002

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
2005017351MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Summers Pharmacy PastSince Sep 29, 2019 Accepting new patients
Summers Pharmacy PastSince Mar 22, 2020 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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1720076037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 NW 241ST RD",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358941",
            "telephone_number": "660-351-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 PAWNEE ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352757",
            "telephone_number": "660-885-3034",
            "fax_number": "660-885-5888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "913 W Fort Scott St",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "MO",
            "postal_code": "647301204",
            "country_code": "US",
            "telephone_number": "660-679-5002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "RYAN",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2005017351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.