MARILYN G RYAN (NPI# 1265614234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265614234 |
| Entity Type | Individual |
| Full Name | MARILYN G RYAN |
| Credential | RPH |
| Practice Address |
3649 Erie Blvd E De Witt NY 13214-2738 |
| Practice Telephone | 3154451356 |
| Practice Fax Number | 3154453008 |
| Mailing Telephone | 3154451356 |
| Mailing Fax Number | 3154453008 |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 036509-1 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00482742 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245314194 | Marilyn Vesta Ryan | Registered Nurse | 35 Woodfin St, Asheville, NC 28801-3020 | 2006-10-25 |
| 1386733780 | Marilyn Ryan | Internal Medicine | 21 Industrial Blvd, Suite #21, Paoli, PA 19301-1610 | 2006-10-12 |
| Street Address |
3649 ERIE BLVD E |
| City | DE WITT |
| State | NY |
| Zip Code | 13214-2738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053651059 | Mary Fox Dba Basic Baby | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E, De Witt, NY 13214-2738 | 2013-02-27 |
| 1902127707 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 3649 Erie Blvd E, Shopping Town Mall, De Witt, NY 13214-2738 | 2010-06-15 |
| 1790967859 | Charles Sharkey | Pharmacist | 3649 Erie Blvd E, De Witt, NY 13214-2738 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
| 1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
| 1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
| 1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
| 1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
| Find all providers in zip 13214 | ||||
| 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 |
|---|---|---|---|---|
| 1306461421 | Tommy Glenn Black | Pharmacist | 220 Court Sq, De Witt, AR 72042-2057 | 2020-06-15 |
| 1013556042 | Kristi Leigh Whitmore | Pharmacist | 220 Court Sq, De Witt, AR 72042-2057 | 2019-12-20 |
| 1336787308 | Vernon Dewayne Crowell Jr. | Pharmacist | 220 Court Sq, De Witt, AR 72042-2057 | 2019-12-20 |
| 1003395435 | Samantha Spicer | Pharmacist | 1640 S Whitehead Dr, De Witt, AR 72042-2994 | 2018-08-07 |
| 1679078760 | Kaylee Hall | Pharmacist | 629 6th Ave, De Witt, IA 52742-1635 | 2018-03-29 |
| 1770952673 | Bobby Jo Kessler Mosier | Pharmacist | 629 6th Ave, De Witt, IA 52742-1635 | 2015-09-21 |
| 1538550447 | Donald Joseph Ladd | Pharmacist | 333 Butternut Dr, Ste 102, De Witt, NY 13214-1981 | 2015-02-13 |
| 1154733426 | Ashley Butt | Pharmacist | 629 6th Ave, De Witt, IA 52742-1635 | 2014-05-21 |
| 1033547948 | Howard Dean Watts | Pharmacist | 1640 S Whitehead Dr, De Witt, AR 72042-2994 | 2013-10-31 |
| 1326476235 | Karen Watts | Pharmacist | 1640 S Whitehead Dr, De Witt, AR 72042-2994 | 2013-10-31 |
| Find all providers in DE WITT | ||||
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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.