RYAN PETERSON (NPI# 1972936557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972936557 |
| Entity Type | Individual |
| Full Name | RYAN PETERSON |
| Credential | PHARM D |
| Practice Address |
1766 Coffeen Ave Sheridan WY 82801-5710 |
| Mailing Address |
993 Juniper Ln Alberton MT 59820-9619 |
| Practice Telephone | 3076741936 |
| Mailing Telephone | 5035075881 |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3662 | WY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619354008 | Ryan Peterson | Hearing Instrument Specialist | 822 Mainstreet, Hopkins, MN 55343-7627 | 2015-05-05 |
| 1912213497 | Ryan Peterson | Counselor | 179 Morrison Ave, Somerville, MA 02144-2017 | 2010-08-23 |
| 1669613816 | Ryan Curtis Peterson | Anesthesiology | 3209 Hillock Dr, Los Angeles, CA 90068-1427 | 2009-03-18 |
| 1245486307 | Ryan Thomas Peterson | Podiatrist | 676 S Bluff St Ste 205, St George, UT 84770-3568 | 2008-08-08 |
| 1902864614 | Ryan Kent Peterson | Optometrist | 4401 E Sunset Rd, Suite 4, Henderson, NV 89014-0274 | 2006-05-02 |
| 1346237393 | Ryan Paul Peterson | Family Medicine | 1553 W 9000 S, West Jordan, UT 84088-9219 | 2005-10-04 |
| 1952908600 | Ryan Peterson | Pharmacist | 50 W Techne Center Dr Ste J, Milford, OH 45150-9798 | 2020-10-06 |
| 1124650395 | Ryan Peterson | Counselor | 3802a Grand Ave S, Minneapolis, MN 55409-1233 | 2020-02-06 |
| 1912434432 | Ryan Dean Peterson | Family Medicine | 4318 Trail Boss Dr Ste 100, Castle Rock, CO 80104-7512 | 2017-05-15 |
| 1841676764 | Ryan Peterson | Dentist | 18340 Governors Hwy, Homewood, IL 60430-2910 | 2015-08-03 |
| Street Address |
1766 COFFEEN AVE |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-5710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407861594 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2006-07-29 |
| 1588040810 | Molly Lux | Pharmacist | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2015-08-10 |
| 1447680384 | Gillian Grunkemeyer | Pharmacist | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2013-11-13 |
| 1659713048 | Walgreens | Clinic/Center | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2013-07-25 |
| 1609158179 | Jessica Meyer | Pharmacist | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2011-09-12 |
| 1538448238 | Renessa Schwartz | Pharmacist | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2011-08-11 |
| 1902113111 | Alisha Danielle Wright | Pharmacist | 1766 Coffeen Ave, Sheridan, WY 82801 | 2010-09-09 |
| 1386959773 | Alison Kay Mcmanus | Pharmacist | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2010-08-10 |
| 1902958804 | Ronald Paul Leblanc | Pharmacist | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| 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 |
|---|---|---|---|---|
| 1922656180 | Ryan Harris | Pharmacist | 821 N Rock Street, Sheridan, AR 72150 | 2019-08-30 |
| 1215306402 | Nick Angel | Pharmacist | 619 Coffeen Ave, Sheridan, WY 82801 | 2015-09-18 |
| 1104252881 | Kelli Cunningham Gills | Pharmacist | 624 S Rock St, Sheridan, AR 72150-7064 | 2013-09-25 |
| 1659516854 | Matthew James Meyer | Pharmacist | 1333 W 5th St Ste 107, Sheridan, WY 82801-2752 | 2008-12-03 |
| 1174622203 | John M. Stadick | Pharmacist | 1259 Victoria St, Sheridan, WY 82801-3343 | 2006-09-22 |
| 1003836537 | Robert L. Culligan | Pharmacist | 321 W Burkitt St, Sheridan, WY 82801-4109 | 2006-07-20 |
| 1295794097 | Kathleen Susan Urbatchka | Pharmacist | 1333 W. 5th St., Sheridan, WY 82801 | 2006-03-21 |
| 1740270834 | William Henry Rathburn II | Pharmacist | 778 Harrison St, Sheridan, WY 82801-4619 | 2005-10-28 |
| 1790782746 | Gary Ray Hadley | Pharmacist | 317 Madison St, Sheridan, MT 59749-9636 | 2005-07-06 |
| 1992347942 | Karrah Tran | Pharmacist | 4000 River Point Pkwy, Sheridan, CO 80110-3316 | 2019-10-11 |
| Find all providers in SHERIDAN | ||||
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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.