Healthcare Provider Details

I. General information

NPI: 1427964147
Provider Name (Legal Business Name): RYAN GARNER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1103 SEVEN LAKES DR
WEST END NC
27376-9314
US

IV. Provider business mailing address

114 COUNTRY CLUB DR
ROCKINGHAM NC
28379-9400
US

V. Phone/Fax

Practice location:
  • Phone: 910-673-3784
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number30141
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: