Active NPI
Crystal Jean Bryner, RPH, MBA, CDE
- Pharmacist
- Peoria, AZ
National Provider Identifier
1477554053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S11174
- Practice address
- 9043 W Olive Ave
Peoria, AZ 85345-7049 - Phone
- (623) 334-3087
- Fax
- (623) 334-3257
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- Sole proprietor
- No
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 | S11174 | AZ | Primary |
Addresses
Primary practice location
9043 W Olive Ave
Peoria, AZ 85345-7049
Mailing address
3889 E Douglas Loop
Gilbert, AZ 85234-3056
Phone (480) 861-7858
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
- Master of Business Administration, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S11174 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477554053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3889 E DOUGLAS LOOP",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852343056",
"telephone_number": "480-861-7858",
"fax_number": "623-334-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9043 W OLIVE AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853457049",
"telephone_number": "623-334-3087",
"fax_number": "623-334-3257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYNER",
"first_name": "CRYSTAL",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "RPH, MBA, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S11174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.