Individual provider Active NPI

Megan Rae Ryan, PHARM.D

  • Pharmacist
  • Ballston Lake, NY
National Provider Identifier
1801515275
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
069476 Issued in NY
Practice address
43 Round Lake Rd
Ballston Lake, NY 12019-1147
Phone
(518) 899-2748
NPI assigned
Aug 26, 2022
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 069476 NY Primary
Pharmacist 183500000X 033.0134818 VT

Addresses

Primary practice location

43 Round Lake Rd
Ballston Lake, NY 12019-1147

Mailing address

43 Round Lake Rd
Ballston Lake, NY 12019-1147
Phone (518) 798-2847

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
069476NYMDPharmacist
033.0134818VTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Martins Foods of South Burlington LLC PastSince Feb 23, 2025 Accepting new patients
Martin's Foods of South Burlington, LLC PastSince Aug 1, 2022 Accepting new patients
Martins Foods of South Burlington LLC PastSince Aug 1, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1801515275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 ROUND LAKE RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191147",
            "telephone_number": "518-798-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 ROUND LAKE RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191147",
            "telephone_number": "518-899-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MEGAN",
        "middle_name": "RAE",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "069476",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0134818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.