Individual provider Active NPI

Bryan Fields, PHARM.D.

  • Pharmacist
  • South Williamson, KY
National Provider Identifier
1821482555
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
014128 Issued in KY
Practice address
28093 Thompson Plaza
Food City Pharmacy
South Williamson, KY 41503-2719
Phone
(606) 237-1175
Fax
(606) 237-7491
NPI assigned
Mar 19, 2015
Last updated
Mar 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 014128 KY Primary
Pharmacist 183500000X RP0007229 WV

Addresses

Primary practice location

28093 Thompson Plaza
Food City Pharmacy
South Williamson, KY 41503-2719

Mailing address

PO Box 2719
Food City Pharmacy
South Williamson, KY 41503-2719
Phone (606) 237-1175

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
014128KYMDPharmacist
RP0007229WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1821482555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2719",
            "address_2": "FOOD CITY PHARMACY",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415032719",
            "telephone_number": "606-237-1175",
            "fax_number": "606-237-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28093 THOMPSON PLAZA",
            "address_2": "FOOD CITY PHARMACY",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415032719",
            "telephone_number": "606-237-1175",
            "fax_number": "606-237-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "014128",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0007229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Williamson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.