Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1952561292 Deactivated / Inactive NPI Female Practitioner

Dr. Tecia Gail Ryan , PharmD

Pharmacist - Nutrition Support • Berkeley, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Tecia Ryan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 10, 2008
NPI Deactivation Date August 26, 2022
Total Practice Duration ~14 Years of Practice (2008 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Tecia Ryan, PharmD was a registered Pharmacist - Nutrition Support practicing in Berkeley, CA. Throughout an active medical career spanning 14 years, Dr. Ryan provided care at the practice location at 2515 MILVIA ST until profile deactivation on 2022-08-26.

Practice Location & Contact Primary Location

Practice Address

2515 Milvia St

Berkeley, CA 947042605

Telephone 5103855094
Fax 5109811678
Associated Practice Facility / Clinic
🏢 Tecia Ryan, Pharm.d. Facility NPI 1750543302

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist - Nutrition Support in Berkeley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Berkeley, CA (21 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist - Nutrition Support Primary Specialty

NUCC Taxonomy Code: 1835N1003X

State License CA 27261

A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 26, 2022

Record deactivated on August 26, 2022

NPI Profile Active June 10, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 10, 2008

Registered at 2515 MILVIA ST, BERKELEY, CA 947042605 (Tel: 5103855094)

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Updated Business Mailing Address June 10, 2008

Registered at 2515 MILVIA ST, BERKELEY, CA 947042605 (Tel: 5103855094)

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Provider Name / Credentials Updated June 10, 2008

Recorded as TECIA RYAN, PHARMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2008

Pharmacist (License #27261 in CA)

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Initial NPI Registration & Enumeration June 10, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952561292
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2008
Last Update: June 10, 2008
Deactivation Date: August 26, 2022

Mailing Address

2515 Milvia St

Berkeley, CA 947042605

Phone: 5103855094

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.