Active NPI
Ryan William Himes, PHARMD
- Pharmacist
- Shreveport, LA
National Provider Identifier
1902262256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.021397
- Practice address
- 9209 Mansfield Rd
Shreveport, LA 71118-3152 - Phone
- (318) 671-0271
- NPI assigned
- Dec 31, 2015
- Last updated
- Dec 31, 2015
- 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 | PST.021397 | LA | Primary |
Addresses
Primary practice location
9209 Mansfield Rd
Shreveport, LA 71118-3152
Mailing address
3305 Williamsburg Dr
Bossier City, LA 71112-3169
Phone (254) 338-2616
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 |
|---|---|---|---|
| PST.021397 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Louisiana Co Inc | Past | Accepting new patients | |
| Walgreen Louisiana Co Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1451520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451520000000",
"number": "1902262256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 WILLIAMSBURG DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711123169",
"telephone_number": "254-338-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9209 MANSFIELD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183152",
"telephone_number": "318-671-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIMES",
"first_name": "RYAN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-31",
"last_updated": "2015-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.021397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.