Healthcare Provider Details

I. General information

NPI: 1518622265
Provider Name (Legal Business Name): RYAN ALAN MAYER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2021
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 E STROOP RD
KETTERING OH
45429-3225
US

IV. Provider business mailing address

530 E STROOP RD
KETTERING OH
45429-3225
US

V. Phone/Fax

Practice location:
  • Phone: 937-449-0450
  • Fax: 937-660-7151
Mailing address:
  • Phone: 937-449-0450
  • Fax: 937-660-7151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03440677
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: