Active NPI
Kevin Padric Ryan, RPH
- Community/Retail Pharmacy
- Seattle, WA
National Provider Identifier
1790717759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH00020051
- Practice address
- 4727 Denver Avenue South
C/O Bartell Drug Company
Seattle, WA 98134-2316 - Phone
- (206) 763-2626
- Fax
- (206) 767-1397
- NPI assigned
- Jul 7, 2006
- 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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH00020051 | WA | Primary |
Addresses
Primary practice location
4727 Denver Avenue South
C/O Bartell Drug Company
Seattle, WA 98134-2316
Mailing address
14530 14TH Ave SE
Mill Creek, WA 98012
Phone (425) 379-0613
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 |
|---|---|---|---|
| PH00020051 | WA | MD | Community/Retail Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790717759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14530 14TH AVE SE",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "98012",
"telephone_number": "425-379-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4727 DENVER AVENUE SOUTH",
"address_2": "C/O BARTELL DRUG COMPANY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981342316",
"telephone_number": "206-763-2626",
"fax_number": "206-767-1397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "KEVIN",
"middle_name": "PADRIC",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WA",
"license": "PH00020051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.