Active NPI
Ryan Leonard McCann
- Pharmacist
- Itasca, IL
National Provider Identifier
1962022897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.292491
- Practice address
- 150 E Pierce Rd Ste 400
Itasca, IL 60143-1231 - Phone
- (630) 948-6945
- NPI assigned
- Apr 21, 2020
- 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 | 051.292491 | IL | Primary |
Addresses
Primary practice location
150 E Pierce Rd Ste 400
Itasca, IL 60143-1231
Mailing address
39W193 E Burnham LN
Geneva, IL 60134-4878
Phone (630) 797-1851
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.292491 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587427200000",
"number": "1962022897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39W193 E BURNHAM LN",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344878",
"telephone_number": "630-797-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E PIERCE RD STE 400",
"city": "ITASCA",
"state": "IL",
"postal_code": "601431231",
"telephone_number": "630-948-6945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCANN",
"first_name": "RYAN",
"middle_name": "LEONARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-21",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.292491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Itasca, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.