Maudie Bryant, PHARMD

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Salyersville, KY

NPI 1487364360 · NPPES record last updated Dec 1, 2022

Key facts

NPI
1487364360
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
012837 (KY)
Practice address
870 Parkway Dr
Salyersville, KY 41465-9250
Phone
(606) 349-7733
NPI assigned
Dec 1, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
012837KYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Pharmacy Past
since Dec 6, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 012837 KY Yes

Addresses

Primary practice location

870 Parkway Dr
Salyersville, KY 41465-9250

Mailing address

870 Parkway Dr
Salyersville, KY 41465-9250
Phone (606) 349-7733

Other providers in Salyersville, KY

All providers in Salyersville, KY · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kentucky

Sources for this page

Verify at the official NPI Registry.