Jeff Lynn Bristo, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

38889 Issued in TX

Practice address

5131 Greenbriar Rd
Wichita Falls, TX 76302-4151

Phone

(940) 397-9662

Fax

(940) 397-9664

NPI assigned

Nov 21, 2020

Last updated

Nov 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jeff Lynn Bristo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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

• Wal-Mart Stores Texas LLC

  dba Walmart Pharmacy 10-0414

  • Community/Retail Pharmacy
  • Wichita Falls, TX
  • NPI 1114944394
  NPD (past)
• Wal-Mart Stores Texas, LLC

  dba Walmart Pharmacy 10-1484

  • Community/Retail Pharmacy
  • Melissa, TX
  • NPI 1386521797
  NPD (past)

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1649873548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 GREENBRIAR RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763024151",
            "telephone_number": "940-397-9662",
            "fax_number": "940-397-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 GREENBRIAR RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763024151",
            "telephone_number": "940-397-9662",
            "fax_number": "940-397-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTO",
        "first_name": "JEFF",
        "middle_name": "LYNN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "38889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "BRISTO",
            "middle_name": "LYNN",
            "prefix": "MR.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anna M Brenson, MS, CCC-SLP
• Brett May MD PA
• Judith L Brewer, FNP-C
• Joshua Briggs, MSN
• Michael Glenn Briggs, LCDC-I
• Katrina Bristow, LMT
• Carrie M Brockriede, CNM
• Brookdale Senior Living Communities, Inc. (Brookdale Midwestern)
• Angela Brooks, MS CCC-SLP
• Brandi Brooks

• Pharmacist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.