Active NPI
Ryan RX LLC
- Community/Retail Pharmacy
- Warren, MI
National Provider Identifier
1972163749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- RYAN RX LLC
- Practice address
- 29230 Ryan Rd Ste B
Warren, MI 48092-4274 - Phone
- (586) 413-7188
- NPI assigned
- Jun 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Khaled Hussain
- Title
- Owner
- Phone
- (586) 413-7188
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
29230 Ryan Rd Ste B
Warren, MI 48092-4274
Mailing address
29230 Ryan Rd Ste B
Warren, MI 48092-4274
Phone (586) 413-7188
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560470400000",
"number": "1972163749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29230 RYAN RD STE B",
"city": "WARREN",
"state": "MI",
"postal_code": "480924274",
"telephone_number": "586-413-7188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29230 RYAN RD STE B",
"city": "WARREN",
"state": "MI",
"postal_code": "480924274",
"telephone_number": "586-413-7188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYAN RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-14",
"last_updated": "2019-06-14",
"status": "A",
"authorized_official_last_name": "HUSSAIN",
"authorized_official_first_name": "KHALED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-413-7188",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.