William L Bryson Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

20004 Issued in TX

Legal business name

WILLIAM L BRYSON INC

Doing business as

Blackmon Pharmacy

Practice address

131 N Locust
Clarksville, TX 75426-3160

Phone

(903) 427-2805

Fax

(903) 427-4291

NPI assigned

Dec 13, 2006

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Luther Bryson, RPHNPI 1558472548

Title

Sole Officer

Phone

(903) 427-2805

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Blackmon Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Luther Bryson, PH

  • Pharmacist
  • Clarksville, TX
  • NPI 1558472548
  NPD (past) Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1144381880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N LOCUST",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754263160",
            "telephone_number": "903-427-2805",
            "fax_number": "903-427-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N LOCUST",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754263160",
            "telephone_number": "903-427-2805",
            "fax_number": "903-427-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L BRYSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "BRYSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LUTHER",
        "authorized_official_title_or_position": "SOLE OFFICER",
        "authorized_official_telephone_number": "903-427-2805",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "2004",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "20004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144948",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackmon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda R Stanley, RN
• Lisa Bullard Steinheil, RPH
• Charles Michael Taylor II
• Titus County Hospital District (Clarksville Nursing Center)
• Rachel Marie Vaughan, PTA

• Community/Retail Pharmacy in Clarksville, TX
• Providers in Clarksville, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.