Active NPI
Ryan James Pelletier, PHARM.D.
- Pharmacist
- Plymouth, MA
National Provider Identifier
1992413082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH238444
- Practice address
- 517 State Rd
Plymouth, MA 02360-5110 - Phone
- (508) 224-3312
- NPI assigned
- Nov 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | PH238444 | MA | Primary |
Addresses
Primary practice location
517 State Rd
Plymouth, MA 02360-5110
Mailing address
25 West St # a
West Bridgewater, MA 02379-1434
Phone (774) 313-9619
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH238444 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1992413082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 WEST ST # A",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791434",
"telephone_number": "774-313-9619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 STATE RD",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023605110",
"telephone_number": "508-224-3312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLETIER",
"first_name": "RYAN",
"middle_name": "JAMES",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-08",
"last_updated": "2022-11-08",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH238444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.