Active NPI
Sandra Rae Bryson, RPH
- Pharmacist
- Montoursville, PA
National Provider Identifier
1114181856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP038129L
- Practice address
- 1015 N Loyalsock Ave
Montoursville, PA 17754-1065 - Phone
- (570) 368-5454
- NPI assigned
- Jul 11, 2008
- 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 | RP038129L | PA | Primary |
Addresses
Primary practice location
1015 N Loyalsock Ave
Montoursville, PA 17754-1065
Mailing address
1336 Adele Rd
Montoursville, PA 17754-9555
Phone (570) 368-2106
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP038129L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215734400000",
"number": "1114181856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1336 ADELE RD",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177549555",
"telephone_number": "570-368-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 N LOYALSOCK AVE",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177541065",
"telephone_number": "570-368-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYSON",
"first_name": "SANDRA",
"middle_name": "RAE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-11",
"last_updated": "2008-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP038129L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montoursville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.