Individual provider Active NPI

Natalie Michelle Ryan, PHARMD

  • Pharmacist
  • Altoona, PA
National Provider Identifier
1932480795
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.290213 Issued in IL
Practice address
4200 Industrial Park Dr
Altoona, PA 16602-1737
Phone
(815) 505-0990
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.290213 IL Primary

Addresses

Primary practice location

4200 Industrial Park Dr
Altoona, PA 16602-1737

Mailing address

635 Nicktown Hill Rd
Northern Cambria, PA 15714-9505
Phone (815) 505-0990

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
051.290213ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Value Specialty Pharmacy LLC CurrentSince Feb 1, 2021 Accepting new patients
Value Specialty Pharmacy LLC CurrentSince Feb 1, 2021 Accepting new patients
Restore RX Inc Current Accepting new patients

Locations

4200 Industrial Park Dr
Altoona, PA 16602
Phone (855) 265-8008

1333 Plank Rd
Ste 200
Duncansville, PA 16635
Phone (814) 283-1821

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1932480795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 NICKTOWN HILL RD",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157149505",
            "telephone_number": "815-505-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 INDUSTRIAL PARK DR",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021737",
            "telephone_number": "815-505-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "NATALIE",
        "middle_name": "MICHELLE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.290213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.