Organization Active NPI

Bryan Family Pharmacy

  • Community/Retail Pharmacy
  • Grosse Tete, LA
National Provider Identifier
1477635266
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BRYAN FAMILY PHARMACY
Practice address
17275 Highway 77
Grosse Tete, LA 70740-3008
Phone
(225) 648-2020
Fax
(225) 648-2047
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Julia Bryan, PHARM
Title
Owner
Phone
(225) 978-4671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2009IR LA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

17275 Highway 77
Grosse Tete, LA 70740-3008

Mailing address

17275 Highway 77
Grosse Tete, LA 70740-3008

Other identifiers 2

IdentifierTypeStateIssuer
1256455MedicaidLA
1921572OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1477635266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17275 HIGHWAY 77",
            "city": "GROSSE TETE",
            "state": "LA",
            "postal_code": "707403008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17275 HIGHWAY 77",
            "city": "GROSSE TETE",
            "state": "LA",
            "postal_code": "707403008",
            "telephone_number": "225-648-2020",
            "fax_number": "225-648-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-978-4671",
        "authorized_official_credential": "PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "2009IR",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1256455",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1921572",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Tete, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.