Healthcare Provider Details

I. General information

NPI: 1639000276
Provider Name (Legal Business Name): JULIET RYAN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 CLAY EDWARDS DR
NORTH KANSAS CITY MO
64116-3220
US

IV. Provider business mailing address

2800 CLAY EDWARDS DR
NORTH KANSAS CITY MO
64116-3220
US

V. Phone/Fax

Practice location:
  • Phone: 816-691-2000
  • Fax: 816-346-7150
Mailing address:
  • Phone: 816-691-2000
  • Fax: 816-346-7150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2011024508
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: