Active NPI
Amy Bryant, RPH
- Pharmacist
- Olive Branch, MS
National Provider Identifier
1609158443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-08799
- Practice address
- 6958 Goodman Rd
Olive Branch, MS 38654-7034 - Phone
- (662) 890-5047
- NPI assigned
- Sep 19, 2011
- 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 | E-08799 | MS | Primary |
Addresses
Primary practice location
6958 Goodman Rd
Olive Branch, MS 38654-7034
Mailing address
6550 Hickory Crest Dr
Walls, MS 38680-8920
Phone (662) 781-1720
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-08799 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1609158443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 HICKORY CREST DR",
"city": "WALLS",
"state": "MS",
"postal_code": "386808920",
"telephone_number": "662-781-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6958 GOODMAN RD",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386547034",
"telephone_number": "662-890-5047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "AMY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-08799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.