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 2

Practice address

2841 Highway 260 Suite 2
Overgaard, AZ 85933

Phone

(928) 537-8555

Fax

(928) 537-9555

NPI assigned

May 10, 2019

Last updated

May 10, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

N & R BRYCE ENTERPRISES LLCAs reported in NPPES

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) 537-8555

Specialties & licenses 1

Addresses

Other names 1

• White Mountain Pharmacy 2 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

  • Community/Retail Pharmacy
  • Show Low, AZ
  • NPI 1386168250

  O20151023000214

  Same enrollment

Part of

N R Bryce Enterprises LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• N & R Bryce Enterprises LLC

  dba White Mountain Pharmacy

  • Community/Retail Pharmacy
  • Show Low, AZ
  • NPI 1386168250
  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": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1417513904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1569",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859021569",
            "telephone_number": "928-537-8555",
            "fax_number": "928-537-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 HIGHWAY 260 SUITE 2",
            "city": "OVERGAARD",
            "state": "AZ",
            "postal_code": "85933",
            "telephone_number": "928-537-8555",
            "fax_number": "928-537-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R BRYCE ENTERPRISES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "N & R BRYCE ENTERPRISES LLC",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "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": "928-537-8555",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Mountain Pharmacy 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Overgaard, AZ
• Providers in Overgaard, 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 May 10, 2019; 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.