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DR. RYAN FAN R.PH
NPI 1174182489
Pharmacist in Boscobel, WI

Active since June 10, 2019
1028 WISCONSIN AVE, BOSCOBEL, WI 53805(703) 606-1417 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan Fan R.ph NPPES

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

DR. RYAN FAN R.PH (NPI 1174182489) is an individual pharmacist in Boscobel, Wisconsin, licensed in Wisconsin (19763-40) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1174182489
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. RYAN FANCredential: R.PH
Location Address1028 WISCONSIN AVEBoscobel, WI 53805-1532
Mailing Address1028 Wisconsin AveBoscobel, WI 53805-1532 · (703) 606-1417
Phone(703) 606-1417
Sole ProprietorNo
Enumeration DateJune 10, 2019
✔ NPI 1174182489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in WI · 19763-40
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1028 WISCONSIN AVE, Boscobel, WI 53805
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Other Providers at the Same Location NPPES 13

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

MS. MICHELLE ELLEN FARRELL PHARM.D., RPH
Pharmacist
1028 WISCONSIN AVE
BOSCOBEL, WI 53805
Grant County (608) 375-4466
JOHN PHILIP BOHLMAN RPH
Pharmacist
1028 WISCONSIN AVE
BOSCOBEL, WI 53805
Grant County (608) 375-4466
MRS. LISA MARY WITTER RPH
Pharmacist
1028 WISCONSIN AVE
BOSCOBEL, WI 53805
Grant County (608) 375-2140
ALLYSON COOLEY PHARMD
Pharmacist
1028 WISCONSIN AVE
BOSCOBEL, WI 53805
Grant County (608) 375-4466
BOSCOBEL PHARMACY, INC
Pharmacy (Community/Retail Pharmacy)
1028 WISCONSIN AVE
BOSCOBEL, WI 53805
Grant County (608) 375-4466
JOHNATHAN GRADY EASTERLING PHARMD
Pharmacist
1028 WISCONSIN AVE
BOSCOBEL, WI 53805
Grant County (608) 375-4466
BREKK FEELEY PHARMD, RPH
Pharmacist
1028 WISCONSIN AVE
BOSCOBEL, WI 53805
Grant County (608) 375-4466
MARY PATRICIA BOHLMAN RPH
Pharmacist
1028 WISCONSIN AVE
BOSCOBEL, WI 53805
Grant County (608) 375-4466

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 Fan's NPI number?

The NPI number for Ryan Fan is 1174182489. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Ryan Fan located?

Ryan Fan practices at 1028 Wisconsin Ave, Boscobel, WI 53805. The listed phone number is (703) 606-1417.

What is Ryan Fan's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Ryan Fan was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.