Individual provider Active NPI

Darby Shae Bryce, PHARMD

  • Pharmacist
  • Elyria, OH
National Provider Identifier
1720664774
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03441792 Issued in OH
Practice address
125 E Broad St Ste 109
Elyria, OH 44035-6429
Phone
(440) 329-7300
Fax
(440) 329-7441
NPI assigned
Mar 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19161 OK
Pharmacist 183500000X 03441792 OH Primary

Addresses

Primary practice location

125 E Broad St Ste 109
Elyria, OH 44035-6429

Mailing address

125 E Broad St Ste 109
Elyria, OH 44035-6429
Phone (440) 329-7300

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
03441792OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Mar 1, 2021 Accepting new patients
Comprehensive Ventures Unlimited Inc PastSince Dec 1, 2024 Accepting new patients
Walgreen Co PastSince Mar 1, 2021 Accepting new patients
University Hospitals Cleveland Medical Center PastSince Dec 1, 2024 Accepting new patients

Organizations & group practices 4

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": "1616284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1720664774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E BROAD ST STE 109",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356429",
            "telephone_number": "440-329-7300",
            "fax_number": "440-329-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E BROAD ST STE 109",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356429",
            "telephone_number": "440-329-7300",
            "fax_number": "440-329-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYCE",
        "first_name": "DARBY",
        "middle_name": "SHAE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-21",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "19161",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03441792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.