Active NPI
Ryan Jeffrey Llewellyn
- Pharmacist
- Bethlehem, PA
National Provider Identifier
1801297890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS52500
- Practice address
- 5580 Crawford Drive
Bethlehem, PA 18017 - Phone
- (610) 954-8323
- Fax
- (610) 954-8327
- NPI assigned
- Sep 9, 2014
- 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 | PS52500 | FL | Primary |
Addresses
Primary practice location
5580 Crawford Drive
Bethlehem, PA 18017
Mailing address
5580 Crawford Drive
Bethlehem, PA 18017
Phone (610) 954-8323
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS52500 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weis Markets Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1801297890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5580 CRAWFORD DRIVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18017",
"telephone_number": "610-954-8323",
"fax_number": "610-954-8327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5580 CRAWFORD DRIVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18017",
"telephone_number": "610-954-8323",
"fax_number": "610-954-8327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLEWELLYN",
"first_name": "RYAN",
"middle_name": "JEFFREY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-09",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS52500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.