HEATHER RYAN (NPI# 1114441052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114441052 |
| Entity Type | Individual |
| Full Name | HEATHER RYAN |
| Practice Address |
4961 Long Beach Rd Se Ste 1 Southport NC 28461-8001 |
| Mailing Address |
6028 Wayfarer Trl Wilmington NC 28409-6006 |
| Practice Telephone | 9104579566 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 25933 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215418108 | Heather Lynn Ryan | Dentist | 4800 Ne 20th Ter Ste 302, Ft Lauderdale, FL 33308-4510 | 2018-08-28 |
| 1194178533 | Heather Ryan | Counselor | 147 Stone Church Rd, Wheeling, WV 26003-7406 | 2016-07-21 |
| 1477911360 | Heather Ryan | Psychologist | 101 Colony Park Dr Ste 300, Cumming, GA 30040-2751 | 2016-02-05 |
| 1336478635 | Heather Marie Ryan | Massage Therapist | 106 W North Bend Way, North Bend, WA 98045-8150 | 2009-12-15 |
| 1811144371 | Heather Lee Ryan | Nurse Practitioner | 6455 S Yosemite Street, 6th Floor, Optum, Englewood, CO 80111 | 2008-08-26 |
| 1316099856 | Heather L. Ryan | Specialist/Technologist | 1 Indian Ave, Venice, FL 34285-2632 | 2007-01-17 |
| 1184284812 | Heather Anne Ryan | Nurse Practitioner | 10799 N 90th St Ste 100, Scottsdale, AZ 85260-6110 | 2019-06-14 |
| 1437403276 | Heather Alysia Ryan | Physical Therapist | 133 Donohoe Rd, Greensburg, PA 15601-7921 | 2012-11-01 |
| 1417265562 | Heather Ryan | Physician Assistant | 360 San Miguel Dr, Suite 701, Newport Beach, CA 92660-7853 | 2010-09-22 |
| 1083817555 | Heather R. Ryan | Counselor | 142 Javit Ct, Youngstown, OH 44515-2409 | 2007-06-11 |
| Street Address |
4961 LONG BEACH RD SE STE 1 |
| City | SOUTHPORT |
| State | NC |
| Zip Code | 28461-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730460940 | William Wesley Hickman | Pharmacist | 4961 Long Beach Rd Se Ste 1, Southport, NC 28461-8001 | 2011-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
| 1962882035 | Kimberlee Kreuzer | Physical Therapist | 1517 N Howe St Suite 4, Southport, NC 28461 | 2015-06-04 |
| 1134449291 | Kristos Nektarios Vaughan | Family Medicine | 3009 Medical Plaza Lane, Southport, NC 28461 | 2010-06-10 |
| 1750612974 | Melissa Holden | Nurse Practitioner | 1517 N Howe St Ste 12, Southport, NC 28461 | 2010-01-28 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1124212329 | Edward Frank Babel | Nurse Practitioner | 201 West Boiling Spring Lakes Road, New Hope Clinic, Boiling Spring Lakes, NC 28461 | 2007-08-30 |
| 1952453151 | Robert Wayne Poe | Otolaryngology | 900 N. Howe St, Southport, NC 28461 | 2007-01-17 |
| 1275640898 | Kurt Thomas Scheetz | Dentist | 1301 N Howe Street, Southport, NC 28461 | 2006-08-23 |
| 1396859872 | Brunswick Family Medicine Pa | Family Medicine | 3960 Executive Park Blvd, Unit 600, Southport, NC 28461 | 2006-08-19 |
| Find all providers in zip 28461 | ||||
| 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 |
|---|---|---|---|---|
| 1760810121 | Kevin Wayne Sands | Pharmacist | 1513 N Howe St Ste 8, Southport, NC 28461-2770 | 2013-10-23 |
| 1013290105 | Marty Lee Hendrick | Pharmacist | 4961 Long Beach Rd Se, Southport, NC 28461-8152 | 2011-09-24 |
| 1730460940 | William Wesley Hickman | Pharmacist | 4961 Long Beach Rd Se Ste 1, Southport, NC 28461-8001 | 2011-08-31 |
| 1730604885 | Brian Jaffin | Pharmacist | 5098 Southport Supply Rd Se, Southport, NC 28461-8746 | 2017-08-10 |
| 1851838486 | Amanda Lewis | Pharmacist | 1675 N Howe St, Southport, NC 28461-2610 | 2017-01-20 |
| 1518403203 | Mariann Pata | Pharmacist | 1675 N Howe St, Southport, NC 28461-2610 | 2017-01-18 |
| 1902251382 | Charles Benoit | Pharmacist | 4961 Long Beach Rd Se, Southport, NC 28461-8152 | 2016-05-04 |
| 1669871422 | Diane Juda | Pharmacist | 1513 N Howe St, Suite 8, Southport, NC 28461-2769 | 2014-08-18 |
| 1386059301 | Rebecca Taylor | Pharmacist | 1675 N Howe St, Southport, NC 28461-2610 | 2014-06-28 |
| 1538597232 | Karen Hewett | Pharmacist | 4961 Long Beach Rd Se, Southport, NC 28461-8152 | 2013-10-16 |
| Find all providers in SOUTHPORT | ||||
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| 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.