Active NPI
Ryan M Blanks, PHARM D
- Pharmacist
- Old Orchard Beach, ME
National Provider Identifier
1811223456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR5726
- Practice address
- 15 Saco Ave
Old Orchard Beach, ME 04064-2242 - Phone
- (207) 934-1000
- NPI assigned
- Nov 1, 2009
- Sex
- Male
- 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 | 183500000X | PR5726 | ME | Primary |
Addresses
Primary practice location
15 Saco Ave
Old Orchard Beach, ME 04064-2242
Mailing address
25 Riverplace Dr
Apt. 25-32
South Portland, ME 04106-2086
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 |
|---|---|---|---|
| PR5726 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257033600000",
"number": "1811223456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 RIVERPLACE DR",
"address_2": "APT. 25-32",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 SACO AVE",
"city": "OLD ORCHARD BEACH",
"state": "ME",
"postal_code": "040642242",
"telephone_number": "207-934-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANKS",
"first_name": "RYAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-01",
"last_updated": "2009-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR5726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Orchard Beach, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.