Dr. Ryan Cooper Haemmerle, PharmD
Pharmacist in Maspeth, NY. Individual provider (NPI-1).
NPI number1295400596
StatusActive
Last updated in NPPESAug 10, 2021
Details
- NPI
- 1295400596
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ryan Cooper Haemmerle
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2021
- Certification date
- Aug 10, 2021
- Last updated
- Aug 10, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 065388 | NY | Yes |
Practice location
4823 55th AveMaspeth, NY 11378-1026
Phone 718-308-2100
Mailing address
4823 55th AveMaspeth, NY 11378-1026
Phone 718-308-2100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 36 Pharmacist providers in Maspeth · All 424 providers in Maspeth
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