Dr Ryan Blake Province, PHARMD - Pharmacist in Leavenworth, KS

Dr Ryan Blake Province, PHARMD is a Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist based in Leavenworth, Kansas. Dr Ryan Blake Province is licensed to practice in Kansas (license number 1-16504) and his current practice location is 4101 S 4th St, Leavenworth, Kansas. He can be reached at his office (for appointments etc.) via phone at (913) 682-2000.

NPI number for Dr Ryan Blake Province is 1134592454 and his current mailing address is 4101 S 4th St, Leavenworth, Kansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134592454.

Contact Information

Dr Ryan Blake Province, PHARMD
4101 S 4th St,
Leavenworth, KS 66048-5014
(913) 682-2000
Not Available

Healthcare Provider's Profile

Full NameDr Ryan Blake Province
GenderMale
SpecialityPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist
Location4101 S 4th St, Leavenworth, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134592454
  • Provider Enumeration Date: 11/09/2015
  • Last Update Date: 11/09/2015

Medical Identifiers

Medical identifiers for Dr Ryan Blake Province such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134592454NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1835P0018XPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist 1-16504 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ryan Blake Province is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ryan Blake Province, PHARMD
4101 S 4th St,
Leavenworth, KS 66048-5014

Ph: (913) 682-2000
Dr Ryan Blake Province, PHARMD
4101 S 4th St,
Leavenworth, KS 66048-5014

Ph: (913) 682-2000

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› Verified 7 days ago


Pharmacist in Leavenworth, KS

Dr. Roselle Marban Schanker, PHARM.D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 4101 S 4th St, Leavenworth, KS 66048
Phone: 913-682-2000    
Heather M Reeves, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 2107 S 4th St, Leavenworth, KS 66048
Phone: 913-651-6134    Fax: 913-651-4004
Dr. Brandon Utter, PHARM.D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 4101 S 4th St, Leavenworth, KS 66048
Phone: 785-218-1415    
Mr. Richard Brett Schneider, R.PH.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 5000 S 13th St, Leavenworth, KS 66048
Phone: 913-727-4872    
Chris Charles Henington, PHARMACIST
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 4101 S 4th St, Dwight Eisenhower Va Medical Center, Leavenworth, KS 66048
Phone: 913-682-2000    Fax: 913-758-6944
Dr. Mark Leo Wilson, PHARM.D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 5049 S 13th St, Leavenworth, KS 66048
Phone: 913-727-4810    
Richard Earl Hoatson, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 5000 S 13th St, Leavenworth, KS 66048
Phone: 913-727-4854    

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