Bryan Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

114626 Issued in AL

Legal business name

BRYAN PHARMACY INC

Practice address

6580 Boll Weevil Cir
Enterprise, AL 36330-9424

Phone

(334) 417-4111

Fax

(334) 417-4114

NPI assigned

May 20, 2016

Organization subpart

No

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

Authorized official

Name

Hubert Bryan

Title

Owner

Phone

(334) 347-5111

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bryan Pharmacy Inc SouthSide Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicki Bryan

  • Pharmacist
  • Elba, AL
  • NPI 1710132048
  NPD (past)
• Joseph Trenton Wood, PHARMD

  • Pharmacist
  • Enterprise, AL
  • NPI 1427677954
  NPD (past)

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1104273002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6580 BOLL WEEVIL CIRCLE",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "36330",
            "telephone_number": "334-417-4111",
            "fax_number": "334-417-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6580 BOLL WEEVIL CIR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363309424",
            "telephone_number": "334-417-4111",
            "fax_number": "334-417-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "HUBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-347-5111"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160202",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryan Pharmacy Inc SouthSide",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Brook Brincks, FNP
• Fleming G. Brooks Jr., M.D.
• Deborah Ivy Brown, FNP-C
• Lauren Brown
• Brown'S Heart and Soul Counseling
• Bryan Pharmacy Inc.
• Bryan Pharmacy Inc.
• Allen Bryan
• Hubert Ray Bryan Jr., RPH
• Bryars-Warren Drug Co

• All providers in Enterprise, AL
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.