Jeffrey Ryan, PHARM D, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0010427 Issued in CT

Practice address

45549 Highway 27
Davenport, FL 33897-4519

Phone

(863) 420-6120

Fax

(863) 420-6112

NPI assigned

Dec 1, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jeff Ryan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

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.

• Agios Corp

  • Community/Retail Pharmacy
  • Eustis, FL
  • NPI 1811442502
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Davenport, FL
  • NPI 1811902083
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1861097669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S BAY ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265551",
            "telephone_number": "352-357-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45549 HIGHWAY 27",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338974519",
            "telephone_number": "863-420-6120",
            "fax_number": "863-420-6112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 S Bay St",
            "address_purpose": "LOCATION",
            "city": "Eustis",
            "state": "FL",
            "postal_code": "327265551",
            "country_code": "US",
            "telephone_number": "352-357-6699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "PHARM D, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS59410",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0010427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "RYAN",
            "prefix": "DR.",
            "credential": "PHARMD, RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alaijah Xaire Royster
• Ruah Express Services Inc
• Ismael Ruiz-de la Rosa I, M.D.
• Brenda Liz Ruiz-Garcia, MSW, RMHC
• Eileen J Ruiz, ARNP
• Myria J Ryan
• Sandra E Rynkowski, RN
• Yilena Sablon Hormigo
• Sage Dental of Reunion Village
• Charlyne Louise Saint-Remy, PMHNP

• Pharmacist in Davenport, FL
• Providers in Davenport, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.