Active NPI
Bryan Family Pharmacy
- Community/Retail Pharmacy
- Grosse Tete, LA
National Provider Identifier
1477635266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1256455 | Medicaid | LA | |
| 1921572 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider DirectoryNPI 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.