Individual provider Active NPI

Bryan Cole

  • Pharmacist
  • Tempe, AZ
National Provider Identifier
1386262996
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S024666 Issued in AZ
Practice address
926 E Broadway Rd
Tempe, AZ 85282-1502
Phone
(480) 281-1016
NPI assigned
Jul 9, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S024666 AZ Primary

Addresses

Primary practice location

926 E Broadway Rd
Tempe, AZ 85282-1502

Mailing address

1075 N Miller Rd Apt 213
Scottsdale, AZ 85257-4615
Phone (916) 365-5968

Other identifiers 1

IdentifierTypeStateIssuer
S024666OtherAZARIZONA BOARD OF PHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bryan.cole@safeway.com Direct SAFEWAY INC

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

State licenses

LicenseStateTypeSpecialty
S024666AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1386262996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 N MILLER RD APT 213",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852574615",
            "telephone_number": "916-365-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 E BROADWAY RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821502",
            "telephone_number": "480-281-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "BRYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF PHARMACY",
            "identifier": "S024666",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bryan.cole@safeway.com",
            "affiliation": "Y",
            "endpointDescription": "Pharmacy email",
            "affiliationName": "SAFEWAY INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "926 E Broadway Rd",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852821502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.