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ETHAN RYBERG PHARMD
NPI 1780244343
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Red Lake, MN

Active since June 17, 2019
24760 HOSPITAL RD, RED LAKE, MN 56671(218) 679-3912 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Ryberg Pharmd NPPES

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

ETHAN RYBERG PHARMD (NPI 1780244343) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Red Lake, Minnesota, licensed in North Dakota (RPH6116) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1780244343
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameETHAN RYBERGCredential: PHARMD
Location Address24760 HOSPITAL RDRed Lake, MN 56671
Mailing Address415 Lake Shore Dr Ne Apt 101Bemidji, MN 56601-4682 · (320) 522-2591
Phone(218) 679-3912
Sole ProprietorYes
Enumeration DateJune 17, 2019
✔ NPI 1780244343 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 ND · RPH6116
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.
24760 HOSPITAL RD, Red Lake, MN 56671
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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.

MRS. HANNAH FAITH MOSES PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
24760 HOSPITAL RD
RED LAKE, MN 56671
Beltrami County (218) 679-3912
MICHELLE LYNN GRAVES CNP
Nurse Practitioner
24760 HOSPITAL RD
RED LAKE, MN 56671
Beltrami County (218) 679-3912
KATE LYNN ELWELL PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
24760 HOSPITAL RD
RED LAKE, MN 56671
Beltrami County (218) 679-3912
BROOKE BAKKE RDH
Dental Hygienist
24760 HOSPITAL RD
RED LAKE, MN 56671
Beltrami County (218) 679-3316
LEE CARRIKER RDH
Dental Hygienist
24760 HOSPITAL RD
REDLAKE, MN 56671
Beltrami County (218) 679-0119
DEAVEN GISSLEN PHARMD
Pharmacist
24760 HOSPITAL RD
RED LAKE, MN 56671
Beltrami County (218) 679-3912
PETER WRIGHT JAEGER PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
24760 HOSPITAL RD
RED LAKE, MN 56671
Beltrami County (218) 679-0169
DR. HOAIBAC NGUYEN PHARM.D.
Pharmacist
24760 HOSPITAL RD
RED LAKE, MN 56671
Beltrami County (218) 679-3912

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 Ethan Ryberg's NPI number?

The NPI number for Ethan Ryberg is 1780244343. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Ethan Ryberg located?

Ethan Ryberg practices at 24760 Hospital Rd, Red Lake, MN 56671. The listed phone number is (218) 679-3912.

What is Ethan Ryberg'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 Ethan Ryberg was last updated on June 17, 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.