Provider Demographics
NPI:1730675430
Name:CHING, RANNON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RANNON
Middle Name:
Last Name:CHING
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 1:2727 EXPOSITION BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-1227
Mailing Address - Country:US
Mailing Address - Phone:512-478-6419
Mailing Address - Fax:512-478-1638
Practice Address - Street 1:2727 EXPOSITION BLVD STE 105
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-1227
Practice Address - Country:US
Practice Address - Phone:512-478-6419
Practice Address - Fax:512-478-1638
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-05
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54892163WD0400X, 1835P0018X, 183500000X, 1835G0303X, 1835N1003X, 1835P1300X, 1835P2201X, 1835P0200X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No183500000XPharmacy Service ProvidersPharmacist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No1835N1003XPharmacy Service ProvidersPharmacistNutrition Support
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No1835P0200XPharmacy Service ProvidersPharmacistPediatrics
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110162Medicaid