Tecia Ryan, Pharm.D.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

27261 Issued in CA

Legal business name

TECIA RYAN, PHARM.D.

Practice address

2515 Milvia St
Berkeley, CA 94704-2605

Phone

(510) 385-5094

Fax

(510) 981-1678

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tecia Gail Ryan, PHARM.D.

Title

Ceo, Cfo, Sole Stockholder

Phone

(510) 385-5094

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1750543302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 MILVIA ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042605",
            "telephone_number": "510-385-5094",
            "fax_number": "510-981-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 MILVIA ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042605",
            "telephone_number": "510-385-5094",
            "fax_number": "510-981-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TECIA RYAN, PHARM.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "TECIA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "CEO, CFO, SOLE STOCKHOLDER",
        "authorized_official_telephone_number": "510-385-5094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist, Nutrition Support",
            "state": "CA",
            "license": "27261",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "27261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Robin Taylor, LCSW MSW
• Tracey L Taylor, D.O.
• Joni K Teague, L.C.S.W.
• Yamvo Teague, RAS INTERN
• Josie A Tebben, MD
• Selamawit Teclemicael, ASW
• Victoria Teicher, NBC-HWC
• Marc Teitelbaum, MFT
• Deborah Anita Temple
• Maria Regina Teodoro Temporal

• Pharmacotherapy Pharmacist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Pharmacotherapy Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.