Individual provider Active NPI

Easton Bryant, PHARMD

  • Pharmacist
  • Columbia, KY
National Provider Identifier
1124301650
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
014644 Issued in KY
Practice address
3058 Campbellsville Rd
Columbia, KY 42728-9511
Phone
(270) 380-1230
Fax
(270) 380-1232
NPI assigned
Sep 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 014644 KY Primary

Addresses

Primary practice location

3058 Campbellsville Rd
Columbia, KY 42728-9511

Mailing address

3058 Campbellsville Rd
Columbia, KY 42728-9511
Phone (270) 380-1230

Other practice location 1

2385 Nashville Rd
Bowling Green, KY 42101-4144
Phone (270) 393-8979

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
014644KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Century Pharmacy, Inc. CurrentSince Jan 17, 2021 Accepting new patients
North Century Pharmacy, Inc. CurrentSince Jul 25, 2021 Accepting new patients
Walgreen Co PastSince Aug 4, 2024 Accepting new patients
Walgreen Co Past Accepting new patients

Locations

3058 Campbellsville Rd
Columbia, KY 42728
Phone (270) 380-1230

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1124301650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3058 CAMPBELLSVILLE RD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427289511",
            "telephone_number": "270-380-1230",
            "fax_number": "270-380-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3058 CAMPBELLSVILLE RD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427289511",
            "telephone_number": "270-380-1230",
            "fax_number": "270-380-1232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2385 Nashville Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421014144",
            "country_code": "US",
            "telephone_number": "270-393-8979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "EASTON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "014644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.