Organization Active NPI

Bryan Pharmacy Inc.

  • Pharmacy
  • Enterprise, AL
National Provider Identifier
1851399596
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
112343 Issued in AL
Legal business name
BRYAN PHARMACY INC.
Practice address
736 Glover Ave
Enterprise, AL 36330-2018
Phone
(334) 347-5111
Fax
(334) 347-7100
NPI assigned
Jul 7, 2005
Last updated
May 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Mr. Hubert Ray Bryan Jr., RPHNPI 1538175310
Title
President
Phone
(334) 347-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 112343 AL Primary

Addresses

Primary practice location

736 Glover Ave
Enterprise, AL 36330-2018

Mailing address

736 Glover Ave.
Enterprise, AL 36330-2018
Phone (334) 347-5111

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2097987Bryan Pharmacy Inc736 Glover Ave, Enterprise, AL 36330Certificate of waiverJun 28, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1851399596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 GLOVER AVE.",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302018",
            "telephone_number": "334-347-5111",
            "fax_number": "334-347-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 GLOVER AVE",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302018",
            "telephone_number": "334-347-5111",
            "fax_number": "334-347-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "HUBERT",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-347-5111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "112343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.