Healthcare Provider Details

I. General information

NPI: 1962349902
Provider Name (Legal Business Name): MICHAEL RYNEARSON RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 ERIE ST S
MASSILLON OH
44646-7976
US

IV. Provider business mailing address

179 CLOVERWOOD CIR
WADSWORTH OH
44281-9489
US

V. Phone/Fax

Practice location:
  • Phone: 330-285-0818
  • Fax: 330-833-2211
Mailing address:
  • Phone: 330-285-0818
  • Fax: 330-833-2211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number03321792
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: