Charles Edwin Bryden, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

31188 Issued in NY

Practice address

3400 State Route 11
Malone, NY 12953-4714

Phone

(518) 483-4110

Fax

(518) 483-2815

NPI assigned

Nov 1, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KPH Healthcare Services, Inc.

  dba Kinney Drugs #12

  • Community/Retail Pharmacy
  • Malone, NY
  • NPI 1336256023
  NPD (past)
• KPH Healthcare Services, Inc.

  dba Kinney Drugs #153

  • Community/Retail Pharmacy
  • Brattleboro, VT
  • NPI 1407747157
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1104005628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 STATE ROUTE 11",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129534714",
            "telephone_number": "518-483-4110",
            "fax_number": "518-483-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 STATE ROUTE 11",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129534714",
            "telephone_number": "518-483-4110",
            "fax_number": "518-483-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYDEN",
        "first_name": "CHARLES",
        "middle_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "31188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00561995",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jayne Brown, P.T.
• Kierstin Brown
• Mandy Brown
• Richard Michael Brown
• Sarah Elizabeth Brown, BSW
• Anthony G Bucci, PRS/PSR
• Trevor Buchanan
• Elizabeth Marie Bunker
• Lori Lynn Buno-Taylor, M. ED.
• Kaitlyn E Burke

• Pharmacist in Malone, NY
• Providers in Malone, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.