Bryant Pharmacy & Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

MCARE033170001 Issued in SC

Legal business name

BRYANT PHARMACY & SUPPLY

Practice address

1901 N Main Street
Anderson, SC 29621

Phone

(864) 224-0711

Fax

(864) 226-8331

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Kevin BryantNPI 1497250369

Title

President

Phone

(864) 202-8394

Specialties & licenses 4

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Bryant Pharmacy Supply2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bryant Pharmacy and Supply Inc.

  • Pharmacy
  • Anderson, SC
  • NPI 1669591558
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Bryant

  • Pharmacist
  • Anderson, SC
  • NPI 1497250369
  NPD Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1790738383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104A NORTH AVE",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296253512",
            "telephone_number": "864-716-0018",
            "fax_number": "864-844-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N MAIN STREET",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "29621",
            "telephone_number": "864-224-0711",
            "fax_number": "864-226-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT PHARMACY & SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-202-8394"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "MCARE033170001",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "SCMCAIDDMES04",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "S0004005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME504",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000863574Y",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kevinbryant.com",
            "affiliation": "Y",
            "endpointDescription": "kevinbryant.com",
            "affiliationName": "Bryant Pharmacy and Supply Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1901 N Main Street",
            "city": "Anderson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debbie Brownlee
• Selenica Nivon Bruce, PA-C
• Terrence Weston Bruner, MD
• Lawrence Kamehameha Bruns, OTR/L
• Kyle C Bryans, M.D.
• Bryant Pharmacy and Supply Inc.
• Calvin Don Bryant, MD
• Douglas Collin Bryant, DMD
• Kevin Bryant
• Susan Elizabeth Bryant, RN, BSN

• Durable Medical Equipment & Medical Supplies in Anderson, SC
• Providers in Anderson, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.