Stacy Lee Bryan

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD08690 Issued in AR

Practice address

924 Highway 62 E
Mountain Home, AR 72653-3214

Phone

(870) 425-4127

Fax

(870) 425-4264

NPI assigned

Dec 17, 2020

Last updated

Dec 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Harps Food Stores, Inc

  dba Harps Pharmacy 119

  • Community/Retail Pharmacy
  • Springdale, AR
  • NPI 1235239559
  NPD (past)
• Harps Food Stores, Inc.

  dba Harps Pharmacy 135

  • Community/Retail Pharmacy
  • Mountain Home, AR
  • NPI 1861592180
  NPD (past)

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1447846118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 HIGHWAY 62 E",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533214",
            "telephone_number": "870-425-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 HIGHWAY 62 E",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533214",
            "telephone_number": "870-425-4127",
            "fax_number": "870-425-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "STACY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD08690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip W Brown, PHD
• Timothy Clay Brown, MD
• Bruce D. Robbins, M.D. (Twin Lakes Neurology)
• Bruce Wolf Physical Therapy, P.a.
• Ronald F Bruton, MD
• Bryant Pharmacy
• Scott R Bryant
• Sarah Buck, LCSW
• Leah Elizabeth Bufford
• Phillip Gerald Bufford, MD

• Pharmacist in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.