Provider Demographics
NPI:1487018198
Name:WINSTEAD, RYAN JOSEPH (PHARMD)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:JOSEPH
Last Name:WINSTEAD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3615 6TH ST S
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-1617
Mailing Address - Country:US
Mailing Address - Phone:330-354-0767
Mailing Address - Fax:
Practice Address - Street 1:3800 RESERVOIR RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-0559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY018569183500000X
VA0202216903183500000X
DCPH2000046831835S0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835S0206XPharmacy Service ProvidersPharmacistSolid Organ Transplant
No183500000XPharmacy Service ProvidersPharmacist