National Provider Identifier

Shea Peter Ryan, PHARM.D.

Shea Peter Ryan, PHARM.D. is listed in the NPPES registry with a primary specialty of Pharmacist in Rochester, NY and a listed phone number of (585) 275-5212.

NPI 1851871701Rochester, NYPharmacist

Profile Overview

NPI
1851871701
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
August 20, 2018
Last Updated
May 05, 2022

Practice Location

  • 601 Elmwood Ave, Dept Of Pharmacy
  • Rochester, NY 14642

Phone: (585) 275-5212

Specialties

  • Pharmacist (183500000X)
  • Pharmacist (183500000X)
Full Record
NPI
1851871701
Entity Type
Individual
Last Name
Ryan
First Name
Shea
Middle Name
Peter
Name Prefix
Dr.
Credential
PHARM.D.
Mailing Street Address
601 Elmwood Ave, Dept Of Pharmacy
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642
Mailing Country
US
Mailing Phone
(585) 275-5212
Practice Street Address
601 Elmwood Ave, Dept Of Pharmacy
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642
Practice Country
US
Practice Phone
(585) 275-5212
Enumeration Date
August 20, 2018
Last Updated
May 05, 2022
Sex
Male
Sole Proprietor
No
Certification Date
May 05, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X), Pharmacist (183500000X)
Other Identifiers
069026 (NY, State License), PR69231 (ME, State License), 051301280 (IL, State License)