Provider Demographics
NPI:1710144456
Name:DEMPSEY, RYAN M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:M
Last Name:DEMPSEY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6040 TARBELL RD STE 108
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13206-1324
Mailing Address - Country:US
Mailing Address - Phone:315-362-8300
Mailing Address - Fax:315-728-2650
Practice Address - Street 1:6040 TARBELL RD STE 108
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13206-1324
Practice Address - Country:US
Practice Address - Phone:315-362-8300
Practice Address - Fax:315-728-2650
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051732183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY051732-1OtherSTATE LICENSE NUMBER