ETHAN RYBERG PHARMD – NPI #1780244343
Pharmacist

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

ETHAN RYBERG is a pharmacist located in RED LAKE, MN. NPPES has assigned the NPI number 1780244343 to ETHAN RYBERG on June 17, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1835P0018X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ETHAN RYBERG below.

NPI Profile for
ETHAN RYBERG

NPI Number
1780244343
Enumeration Date

(about 7 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ETHAN RYBERG
Credentials
PHARMD
Primary location
24760 HOSPITAL RD
RED LAKE, MN 56671
Phone: (218) 679-3912 Fax:
Mailing address
415 LAKE SHORE DR NE APT 101
BEMIDJI, MN 56601-4682
Phone: (320) 522-2591 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P0018X
- Pharmacist / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Primary)
ND RPH6116

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.