Ryan Paul Etscheid, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

251.295671 Issued in IL

Practice address

5001 N Big Hollow Rd
Peoria, IL 61615-3538

Phone

(309) 691-9310

NPI assigned

Jun 14, 2013

Last updated

Jun 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1932548765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 N BIG HOLLOW RD",
            "address_2": "T0871",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616153538",
            "telephone_number": "309-691-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 N BIG HOLLOW RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616153538",
            "telephone_number": "309-691-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETSCHEID",
        "first_name": "RYAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "251.295671",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "21649",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Espino, DMD
• Joseph Esposito, DC
• Anna Estabrook, MM, MT-BC
• Norman C Estes, M.D.
• Edward E Etherton, NP
• Ashley Eubank
• Elizabeth Kaiser Eugea, LCPC
• Venus E Evans-Winters, LCSW, PHD
• Chadrick Ryan Evans, M.D.
• Gretchen M Evans, D.P.M.

• Pharmacist in Peoria, IL
• Providers in Peoria, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.