Healthcare Provider Details

I. General information

NPI: 1538015888
Provider Name (Legal Business Name): MOLLY RYAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3929 ROCKY RIVER DR
CLEVELAND OH
44111-4153
US

IV. Provider business mailing address

3929 ROCKY RIVER DR
CLEVELAND OH
44111-4153
US

V. Phone/Fax

Practice location:
  • Phone: 216-252-5800
  • Fax:
Mailing address:
  • Phone: 216-252-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03444585
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number03444585
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number03444585
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number03444585
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: