Terry N Bryant, PHARMD
Individual provider Active NPI Pharmacist · Preston, GA
NPI 1013288505 · NPPES record last updated Aug 12, 2021
Key facts
- NPI
- 1013288505
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH021607 (GA)
- Practice address
- 6381 Hamilton St
Preston, GA 31824 - Phone
- (229) 828-2273
- Fax
- (229) 828-2115
- NPI assigned
- Jan 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH021607 | GA | MD | Pharmacist |
Interoperability endpoints
- https://api.platform.athenahealth.com/23051/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH021607 | GA | Yes |
Addresses
Primary practice location
6381 Hamilton St
Preston, GA 31824
Mailing address
6381 Hamilton St
Preston, GA 31824-4029
Phone (229) 828-2273
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH021607 | Other | GA | STATE PHARMACY LICENSE |
Other providers in Preston, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.