Provider Demographics
NPI:1861965485
Name:GUILARAN, RYAN QUINN PENEYRA (PHARMD)
Entity type:Individual
Prefix:
First Name:RYAN QUINN
Middle Name:PENEYRA
Last Name:GUILARAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:RYAN
Other - Middle Name:PENEYRA
Other - Last Name:GUILARAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1220 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12226-1800
Mailing Address - Country:US
Mailing Address - Phone:518-445-6176
Mailing Address - Fax:
Practice Address - Street 1:1220 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12226-1800
Practice Address - Country:US
Practice Address - Phone:518-445-6176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-07
Last Update Date:2025-06-02
Deactivation Date:2025-05-07
Deactivation Code:
Reactivation Date:2025-05-27
Provider Licenses
StateLicense IDTaxonomies
NY064400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist