Individual provider Active NPI

Bryan Huffstetler, PHARMD

  • Pharmacist
  • Granite Falls, NC
National Provider Identifier
1689196685
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26144 Issued in NC
Practice address
21 Falls Ave
Granite Falls, NC 28630-1519
Phone
(828) 396-2144
Fax
(828) 396-9561
NPI assigned
Jul 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26144 NC Primary

Addresses

Primary practice location

21 Falls Ave
Granite Falls, NC 28630-1519

Mailing address

21 Falls Ave
Granite Falls, NC 28630-1519
Phone (828) 396-2144

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
26144NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Pharmacy of Granite Falls, LLC Pharmacist CurrentSince Jul 24, 2022 Accepting new patients

Locations

21 Falls Ave
Granite Falls, NC 28630
Phone (282) 396-2144

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.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689196685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 FALLS AVE",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286301519",
            "telephone_number": "828-396-2144",
            "fax_number": "828-396-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 FALLS AVE",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286301519",
            "telephone_number": "828-396-2144",
            "fax_number": "828-396-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFSTETLER",
        "first_name": "BRYAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "26144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Falls, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.