N & R Bryce Enterprises LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

N & R BRYCE ENTERPRISES LLC

Doing business as

White Mountain Pharmacy

Practice address

4461 S White Mountain Rd Ste D2
Show Low, AZ 85901-7783

Phone

(928) 537-8555

Fax

(928) 537-9555

NPI assigned

Aug 1, 2017

Last updated

Oct 17, 2017By 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

Nickalaus David Bryce, PHARMDNPI 1578680922

Title

Managing Member

Phone

(928) 243-0566

Specialties & licenses 1

Addresses

Other names 1

• White Mountain Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• N & R Bryce Enterprises LLC

  dba White Mountain Pharmacy 2

  • Community/Retail Pharmacy
  • Overgaard, AZ
  • NPI 1417513904

  O20151023000214

  Same enrollment

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• N & R Bryce Enterprises LLC

  dba White Mountain Pharmacy 2

  • Community/Retail Pharmacy
  • Overgaard, AZ
  • NPI 1417513904
  NPPES parent name

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.

• Nickalaus David Bryce, PHARMD

  • Pharmacist
  • Willcox, AZ
  • NPI 1578680922
  NPD Authorized official

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1386168250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919",
            "city": "TAYLOR",
            "state": "AZ",
            "postal_code": "859390919",
            "telephone_number": "928-537-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 S WHITE MOUNTAIN RD STE D2",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017783",
            "telephone_number": "928-537-8555",
            "fax_number": "928-537-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R BRYCE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "BRYCE",
        "authorized_official_first_name": "NICKALAUS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "928-243-0566",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Mountain Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White Mountain Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Kraig Muder, PHARMD
• Sara Kaye Munns
• Raelynn M. Musick, N.P.
• My Daughter's Home Health Agency LLC (MTN Home Health)
• Ginger Myers, LMFT
• Alok Naik, R.PH
• Nationwide Optometry P.C.
• Nationwide Optometry P.C. (Nationwide Vision)
• Jill Shannon Navarro, RDH
• Nazcare - Discovery Wellness Center

• Community/Retail Pharmacy in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.