Active NPI
Jenna Bryce, PHARMD
- Pharmacist
- Alexandria, MN
National Provider Identifier
1780469775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 119988
- Practice address
- 4404 Highway 29 S
Alexandria, MN 56308-2915 - Phone
- (320) 763-7393
- NPI assigned
- Aug 28, 2023
- 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 | 119988 | MN | Primary |
Addresses
Primary practice location
4404 Highway 29 S
Alexandria, MN 56308-2915
Mailing address
2478 Hiebel Rd SW
Alexandria, MN 56308-6182
Phone (320) 266-7855
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
| License | State | Type | Specialty |
|---|---|---|---|
| 119988 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1780469775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2478 HIEBEL RD SW",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563086182",
"telephone_number": "320-266-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4404 HIGHWAY 29 S",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563082915",
"telephone_number": "320-763-7393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYCE",
"first_name": "JENNA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-28",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "119988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.