Provider Demographics
NPI:1699663039
Name:SCHULT, RYAN (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:SCHULT
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 FISCHER CIR
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:RI
Mailing Address - Zip Code:02871-5410
Mailing Address - Country:US
Mailing Address - Phone:831-402-1830
Mailing Address - Fax:
Practice Address - Street 1:68 FISCHER CIR
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:RI
Practice Address - Zip Code:02871-5410
Practice Address - Country:US
Practice Address - Phone:831-402-1830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH06766183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist