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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RYAN BLAKE PROVINCE PHARMD
NPI 1134592454
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Leavenworth, KS

Active since November 09, 2015
550 POPE AVE, FORT LEAVENWORTH, KS 66027(913) 684-6250 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, Nov 9, 2015 (2 updates tracked since 2015).

About Dr. Ryan Blake Province Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RYAN BLAKE PROVINCE PHARMD (NPI 1134592454) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Fort Leavenworth, Kansas, licensed in Kansas (1-16504) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1134592454
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameDR. RYAN BLAKE PROVINCECredential: PHARMD
Location Address550 POPE AVEFort Leavenworth, KS 66027-2332
Mailing Address550 Pope AveFort Leavenworth, KS 66027-2332 · (913) 684-6250
Phone(913) 684-6250
Sole ProprietorNo
Enumeration DateNovember 9, 2015
Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1134592454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in KS · 1-16504
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
550 POPE AVE, Fort Leavenworth, KS 66027
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL M. HALE PA-C
Physician Assistant
550 POPE AVE
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6000
NATHANIEL WHITTINGTON FOSTER DO
General Practice
550 POPE AVE
FORT LEAVENWORTH, KS 66027
Leavenworth County (619) 532-6400
MRS. LILLY ROSE JOHNSON LPN
Licensed Practical Nurse
550 POPE AVE
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6671
JOHN T FITZGERALD RPH
Pharmacist
550 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTENTION MCXN CPD ,S CPTTPM
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6562
MS. ELBA M VILLACORTA RN, CNOR
Registered Nurse
550 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MS. COTTON)
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6562
MR. DANIEL JOSEPH COLOMBO LSCSW
Social Worker (Clinical)
550 POPE AVE
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 271-2627
MRS. LISA JEAN HOVER P.T.
Physical Therapist
550 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTN: MXCN-COD, MS. COTTON)
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6562
MS. ANGELA FRANCES CLAUSER RN BSN
Registered Nurse (Ambulatory Care)
550 POPE AVE, MUNSON HEALTH CENTER
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Province's NPI number?

The NPI number for Ryan Province is 1134592454. It was assigned to this individual provider in the NPPES registry on November 9, 2015.

Where is Ryan Province located?

Ryan Province practices at 550 Pope Ave, Fort Leavenworth, KS 66027. The listed phone number is (913) 684-6250.

What is Ryan Province's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Ryan Province was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.