Active NPI
Carla Sue Bryant, RPH
- Pharmacist
- La Porte, TX
National Provider Identifier
1255668646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28602
- Practice address
- 1102 S Broadway St
La Porte, TX 77571-5302 - Phone
- (281) 471-7282
- Fax
- (281) 471-1361
- NPI assigned
- Nov 5, 2009
- Last updated
- Nov 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 28602 | TX | Primary |
Addresses
Primary practice location
1102 S Broadway St
La Porte, TX 77571-5302
Mailing address
1102 S Broadway St
La Porte, TX 77571-5302
Phone (281) 471-7282
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 |
|---|---|---|---|
| 28602 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1255668646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 S BROADWAY ST",
"city": "LA PORTE",
"state": "TX",
"postal_code": "775715302",
"telephone_number": "281-471-7282",
"fax_number": "281-471-1361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 S BROADWAY ST",
"city": "LA PORTE",
"state": "TX",
"postal_code": "775715302",
"telephone_number": "281-471-7282",
"fax_number": "281-471-1361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "CARLA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-05",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "28602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Porte, TX
- Bio-Medical Applications of Texas, Inc. (La Porte Dialysis Facility)
- Xochitl S Bockmon, PA
- Cynthia A Bowles, LSA
- Hunter J Bozant, COTA
- Neal James Broussard, RPH
- Bub-Lee Eye Center Inc (Sharp Eyes Vision Center)
- Darrick Shawn Bub, O.D.
- Burchwood
- Linda Diana Campbell, CRNP
- Lavinia Carbajal Olavarrieta
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.