Bryan Di Cicco, DO – Community/Retail Pharmacy

Key facts

NPI: 1487516266
Entity type: Individual (NPI type 1)
Primary specialty: Community/Retail Pharmacy 3336C0003X
License: RPH035885 (GA)
Practice address: 260 Tift College Dr
Forsyth, GA 31029-2318
Phone: (478) 200-9482
NPI assigned: Dec 1, 2025
Sex: Male
Sole proprietor: Yes

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.

Ingles Markets Inc Community/Retail Pharmacy · Acworth, GA · NPI 1023872108

NPD (past) COMMUNITY/RETAIL PHARMACY

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 Osteopathy

State licenses

License	State	Type	Specialty
RPH035885	GA	MD	Community/Retail Pharmacy

Practice roles

Organization	Specialty	Status	New patients
Ingles Markets Inc	Community/Retail Pharmacy	Past since Dec 7, 2025	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Retail Pharmacy	3336C0003X	RPH035885	GA	Yes

Addresses

Primary practice location

260 Tift College Dr
Forsyth, GA 31029-2318

Mailing address

260 Tift College Dr
Forsyth, GA 31029-2318

Other providers in Forsyth, GA

All providers in Forsyth, GA · Community/Retail Pharmacy in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.