Active NPI
Holly Ryan, PHARM.D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Sugar Land, TX
National Provider Identifier
1790369148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 61162
- Practice address
- 16655 Southwest Fwy
Sugar Land, TX 77479-2329 - Phone
- (281) 274-7000
- NPI assigned
- May 11, 2021
- Sex
- Female
- Sole proprietor
- No
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 61162 | TX | Primary |
Addresses
Primary practice location
16655 Southwest Fwy
Sugar Land, TX 77479-2329
Mailing address
14 Lake Mist Dr
Sugar Land, TX 77479-5859
Other practice location 1
13322 West Airport Blvd
Sugar Land, TX 77478
Phone (832) 935-6344
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61162 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores Texas LLC | Past | Accepting new patients | |
| Wal-Mart Stores Texas, LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pharmacy
- Sugar Land, TX
- NPI 1366976060
-
dba Walmart Pharmacy 10-1484
- Community/Retail Pharmacy
- Melissa, TX
- NPI 1386521797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1790369148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 LAKE MIST DR",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774795859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16655 SOUTHWEST FWY",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774792329",
"telephone_number": "281-274-7000"
}
],
"practiceLocations": [
{
"address_1": "13322 West Airport Blvd",
"address_purpose": "LOCATION",
"city": "Sugar Land",
"state": "TX",
"postal_code": "77478",
"country_code": "US",
"telephone_number": "832-935-6344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYAN",
"first_name": "HOLLY",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "61162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
- Dorcas Ann Rupert, RDCS
- Porschia Rust
- Ruth E. Bedsole, Ma. LPC, LMFT, PLLC
- Megan Lee Rutledge
- Rxworks LLC (ScriptWorks Pharmacy)
- Ryson Financial Corporation
- S J Fisher & Associates Foot & Ankle Specialist PA
- S. Gant, DDS, P.a. (Affordable Dentures & Implants - Sugar Land)
- S&S Medical Equipment LLC.
- Saba Khan M.D, P.a
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.