DR. RYAN GLENN PETT (NPI# 1497193296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497193296 |
Entity Type | Individual |
Full Name | DR. RYAN GLENN PETT |
Credential | PHARM.D., MPH |
Practice Address |
401 Buster Rd Toppenish WA 98948-9792 |
Practice Telephone | 5098651703 |
Practice Fax Number | 5098658753 |
Mailing Telephone | 5098651703 |
Mailing Fax Number | 5098658753 |
Enumeration Date | 2013-06-13 |
Last Update Date | 2019-10-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | S019784 | AZ | Pharmacy Service Providers |
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PH60632918 | WA | Pharmacy Service Providers |
Street Address |
401 BUSTER RD |
City | TOPPENISH |
State | WA |
Zip Code | 98948-9792 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811990385 | Sarah Kim Michael | Pharmacist | 401 Buster Rd, Toppenish, WA 98948-9792 | 2005-05-27 |
1780214239 | Cameron Neiss | Pharmacist | 401 Buster Rd, Toppenish, WA 98948-9792 | 2020-01-23 |
1285295725 | Nicholle Lynn Blevins | Dental Hygienist | 401 Buster Rd, Toppenish, WA 98948-9792 | 2019-06-25 |
1033622105 | Vered Rebecca Zino | Pharmacist | 401 Buster Rd, Toppenish, WA 98948-9792 | 2017-11-13 |
1912420555 | Justin Vanriper | Dentist | 401 Buster Rd, Toppenish, WA 98948-9792 | 2017-07-25 |
1144774704 | Maria Santiago | Registered Nurse | 401 Buster Rd, Toppenish, WA 98948-9792 | 2016-08-11 |
1407300064 | Melanie Belcourt | Registered Nurse | 401 Buster Rd, Toppenish, WA 98948-9792 | 2016-08-11 |
1114319290 | Pamela Leslie | Clinic/Center | 401 Buster Rd, Toppenish, WA 98948-9792 | 2015-02-25 |
1922436377 | Stacey Noyes | Registered Nurse | 401 Buster Rd, Toppenish, WA 98948-9792 | 2013-10-23 |
1699119123 | Indian Health Services | Clinic/Center | 401 Buster Rd, Toppenish, WA 98948-9792 | 2013-04-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104436930 | Rozita Zandkargar | Pharmacist | 401 Fort Rd, Toppenish, WA 98948 | 2020-08-06 |
1558828632 | Jeffrey Wade Sylte | Physician Assistant | Heritage University, 3240 Fort Road, Toppenish, WA 98948 | 2019-02-26 |
1184188856 | Adriana Andrea Moncada | Counselor | 20 Gunnyon Road, Toppenish, WA 98948 | 2019-01-28 |
1285117101 | Joe Lorenzana | Counselor | 501 West 1st Street, Toppenish, WA 98948 | 2018-09-07 |
1508386236 | Suzzana Marie Ntalikas | Massage Therapist | 501 West 4th Avenue, Toppenish Physical Therapy, Toppenish, WA 98948 | 2017-06-23 |
1265849566 | Traci Stout | Registered Nurse | 171 Wishpoosh Rd, Toppenish, WA 98948 | 2014-07-18 |
1255748554 | Julie Ferguson | Registered Nurse | 171 Wishpoosh Rd # 28, Toppenish, WA 98948 | 2014-07-18 |
1225469927 | Merit Resource Services | Preferred Provider Organization | 300 South First Ave, Toppenish, WA 98948 | 2013-12-05 |
1326370644 | Yakama Nation | Community/Behavioral Health | 171 Wishpoosh Road #28, Toppenish, WA 98948 | 2010-02-11 |
1780913566 | Cynthia G. Mills | Counselor | 20 Gunnyon Rd., Toppenish, WA 98948 | 2009-12-08 |
Find all providers in zip 98948 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386656809 | Robin R John | Pharmacist | 401 Buster Rd, Toppenish, WA 98948-9792 | 2006-08-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912362070 | Ashley Johnson | Pharmacist | 734 Crestview Pl, Walla Walla, WA 99362-4230 | 2015-12-16 |
1649516436 | Andrew James Harbison | Pharmacist | 7080 Killeen Pl Sw, Port Orchard, WA 98367-7617 | 2012-12-24 |
1265627640 | Marilyn G Bufton | Pharmacist | 2107 Wilderness Ridge Rd, Bellingham, WA 98229-6901 | 2007-09-10 |
1386835817 | Julia Ann Barnett | Pharmacist | 16550 177th Ave Se, Po Box 777, Monroe, WA 98272 | 2007-08-08 |
1336356443 | Trent Lawrence Danielson | Pharmacist | 236 2nd Ave N., Okanogan, WA 98840 | 2007-05-17 |
1295858934 | Jeffrey B Purcell | Pharmacist | 325 9th Ave Box 359885, Seattle, WA 98104-2499 | 2007-04-09 |
1144340654 | Teri Lynn Gilbert | Pharmacist | 713 Canyon View Pl, Yakima, WA 98908-2105 | 2007-03-29 |
1386776995 | Edward O. Bye | Pharmacist | 16325 Thorpe Rd Ne, Poulsbo, WA 98370-8010 | 2007-03-09 |
1063554954 | Kyle Downey | Pharmacist | 6727 S Moran View St, Spokane, WA 99224-8494 | 2007-02-13 |
1447319918 | Steven Harold Erickson | Pharmacist | 24914 153rd Pl Se, Monroe, WA 98272-9558 | 2006-12-08 |
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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.