Healthcare Provider Details

I. General information

NPI: 1174905129
Provider Name (Legal Business Name): RYAN SAWYER PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2015
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 INDIAN MOUND DR
MT STERLING KY
40353-1156
US

IV. Provider business mailing address

2713 BRADEN WAY
LEXINGTON KY
40509-8572
US

V. Phone/Fax

Practice location:
  • Phone: 859-497-9696
  • Fax: 859-497-9495
Mailing address:
  • Phone: 740-525-0319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number017823
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: