Active NPI
Monique Kara Bryan
- Pharmacist
- Pelham, NY
National Provider Identifier
1104140094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 053226
- Practice address
- 528 Sixth Ave
Pelham, NY 10803-1320 - Phone
- (914) 843-3130
- NPI assigned
- Mar 21, 2010
- Last updated
- Mar 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 053226 | NY | Primary |
Addresses
Primary practice location
528 Sixth Ave
Pelham, NY 10803-1320
Mailing address
1058 Hope St
Stamford, CT 06907-2110
Phone (203) 325-5172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut CVS Pharmacy LLC | Past | Accepting new patients | |
| Connecticut CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1104140094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1058 HOPE ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069072110",
"telephone_number": "203-325-5172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 SIXTH AVE",
"city": "PELHAM",
"state": "NY",
"postal_code": "108031320",
"telephone_number": "914-843-3130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "MONIQUE",
"middle_name": "KARA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-21",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "053226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pelham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.