MEDICARE: DR. RYAN ALAN MAYER PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	03440677	OH

General Provider Information

NPI Number	:	1518622265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN ALAN MAYER PHARMD

Provider Business Mailing Address
First Line	:	530 E STROOP RD
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45429-3225
Country	:	US
Telephone Number	:	937-449-0450
Fax Number	:	937-660-7151

Provider Business Practice Location Address
First Line	:	530 E STROOP RD
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45429-3225
Country	:	US
Telephone Number	:	937-449-0450
Fax Number	:	937-660-7151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2021
Last Update Date	:	05/13/2026

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