RYAN GORDON (NPI# 1104219740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104219740 |
| Entity Type | Individual |
| Full Name | RYAN GORDON |
| Credential | PHARM D. |
| Practice Address |
260 W Lehigh Ave Philadelphia PA 19133-3425 |
| Mailing Address |
2600 Welsh Rd Apt 20 Philadelphia PA 19152-1442 |
| Practice Telephone | 2154253784 |
| Mailing Telephone | 3475124913 |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP449061 | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902238579 | Ryan James Gordon | Military Health Care Provider | 9955 Pomerado Rd Bldg 20300, San Diego, CA 92131-2041 | 2013-08-06 |
| 1265963367 | Ryan Douglas Gordon | Student in an Organized Health Care Education/Training Program | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2017-03-21 |
| 1104125707 | Ryan Wesley Gordon | Anesthesiology | 135 W Ravine Rd Ste 5-b, Kingsport, TN 37660-3847 | 2011-03-22 |
| 1316997240 | Ryan Lee Gordon | Dentist | 6601 Lyndale Ave S, Suite 230 Woodlake Centre, Richfield, MN 55423 | 2006-05-11 |
| Street Address |
260 W LEHIGH AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19133-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154586469 | Christina Tolis | Pharmacist | 260 W Lehigh Ave, Philadelphia, PA 19133-3425 | 2008-07-25 |
| 1205491602 | Saliya Gafarov | Pharmacist | 260 W Lehigh Ave, Philadelphia, PA 19133-3425 | 2019-05-01 |
| 1790254951 | Du Ri Kim | Pharmacist | 260 W Lehigh Ave, Philadelphia, PA 19133-3425 | 2018-11-16 |
| 1558804476 | Jeong-in Yun | Pharmacist | 260 W Lehigh Ave, Philadelphia, PA 19133-3425 | 2016-11-25 |
| 1659763068 | Tommy Dinh | Pharmacist | 260 W Lehigh Ave, Philadelphia, PA 19133-3425 | 2015-02-21 |
| 1235545872 | Sann Leang | Pharmacist | 260 W Lehigh Ave, Philadelphia, PA 19133-3425 | 2014-07-03 |
| 1497160345 | Vu Nguyen | Pharmacist | 260 W Lehigh Ave, Philadelphia, PA 19133-3425 | 2014-06-29 |
| 1548675689 | Joanne Le Nguyen | Pharmacist | 260 W Lehigh Ave, Philadelphia, PA 19133-3425 | 2014-06-27 |
| 1083027114 | Rite Aid Pharmacy | Pharmacy | 260 W Lehigh Ave, Pharmacy Dept, Philadelphia, PA 19133-3425 | 2014-06-06 |
| 1043527930 | Rite Aid Corp | Clinic/Center | 260 W Lehigh Ave, Philadelphia, PA 19133-3425 | 2010-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427525708 | Delia Maria Home Care Agency LLC | Home Health Aide | 2945-47 N. 5th Street, Philadelphia, PA 19133 | 2018-10-25 |
| 1215417738 | Ajaj Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 3116 North Front St, Philadelphia, PA 19133 | 2018-08-14 |
| 1730636101 | Martha Pinto | Registered Nurse | 412 W. Lehigh Avenue, Philadelphia, PA 19133 | 2016-09-02 |
| 1295105989 | Mariana Arguelles-alcazar | Technician, Other | 216 W. Somerset St, Esfuerzo Program, Philadelphia, PA 19133 | 2015-10-07 |
| 1750785457 | Cinthya M Gonzalez Reveron | Speech-Language Pathologist | 2215 N American Street, Philadelphia, PA 19133 | 2014-10-09 |
| 1306166434 | Roberto Hilario | Counselor | 29297 North 5th Street, Philadelphia, PA 19133 | 2010-06-11 |
| 1598919300 | Pan American Academy Charter School | Local Education Agency (LEA) | 126 West Dauphin Street, Philadelphia, PA 19133 | 2008-11-06 |
| 1518157114 | Jennifer Leah Hoffman | Registered Nurse | 452 W. Allegheny Ave, Philadelphia, PA 19133 | 2007-07-30 |
| 1245441534 | Mark D. Lyons | Physician Assistant | 452 W. Allegheny Ave., Phila., PA 19133 | 2007-05-25 |
| 1104037613 | Christian Santana | Dentist | 29 10 North 5th Street, Phila, PA 19133 | 2007-05-25 |
| Find all providers in zip 19133 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1639797574 | Nikia Moody | Pharmacist | 3300 S Broad St, Philadelphia, PA 19145-5802 | 2020-07-07 |
| 1730706136 | William Galson | Pharmacist | 2732 E Venango St, Philadelphia, PA 19134-6121 | 2020-07-01 |
| 1801413489 | Kim-anh Tran | Pharmacist | 633 W Rittenhouse St Apt A204, Philadelphia, PA 19144-4327 | 2020-06-30 |
| 1376160374 | Amjad Azzawe | Pharmacist | 1335 Mount Vernon St, Philadelphia, PA 19123-3211 | 2020-06-25 |
| 1861017345 | Alice Hong Chandler | Pharmacist | 1405 S 10th St # At, Philadelphia, PA 19147-5608 | 2020-06-10 |
| 1710509518 | Nicholas Jospeh Carroll | Pharmacist | 21302 Delaire Landing Rd, Philadelphia, PA 19114-5205 | 2020-05-14 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1871129809 | Adina Klingman | Pharmacist | 5800 Woodland Ave, Philadelphia, PA 19143-5918 | 2020-03-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19133 |
Please comment or provide details below to improve the information on RYAN GORDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.