Individual provider Active NPI

Ryan Harris, PHARMD

  • Pharmacist
  • Sheridan, AR
National Provider Identifier
1922656180
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD14606 Issued in AR
Practice address
821 N Rock Street
Sheridan, AR 72150
Phone
(870) 942-5121
Fax
(870) 942-2592
NPI assigned
Aug 30, 2019
Last updated
Aug 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD14606 AR Primary

Addresses

Primary practice location

821 N Rock Street
Sheridan, AR 72150

Mailing address

McCoy Tygart Drug Inc
PO Box 217
Sheridan, AR 72150
Phone (870) 942-5121

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
PD14606ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
McCoy-Tygart Drug Store Inc CurrentSince Mar 22, 2020 Accepting new patients
McCoy-Tygart Drug Store Inc PastSince Sep 1, 2019 Accepting new patients

Locations

821 N Rock St
Sheridan, AR 72150
Phone (870) 942-5121

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": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1922656180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MCCOY TYGART DRUG INC",
            "address_2": "PO BOX 217",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "72150",
            "telephone_number": "870-942-5121",
            "fax_number": "870-942-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N ROCK STREET",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "72150",
            "telephone_number": "870-942-5121",
            "fax_number": "870-942-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "RYAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD14606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.