Bryan Pharmacy Inc.

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

Organization subpart

No

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

Authorized official

Name

Mr. Hubert Ray Bryan Jr., RPH

Title

President

Phone

(334) 347-5111

Specialties & licenses 2

Addresses

Other identifiers 2

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

CLIA laboratory certificates

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0131982",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003576",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Ivy Brown, FNP-C
• Lauren Brown
• Brown'S Heart and Soul Counseling
• Bryan Pharmacy Inc
• Bryan Pharmacy Inc.
• Allen Bryan
• Hubert Ray Bryan Jr., RPH
• Bryars-Warren Drug Co
• Bryars-Warren Drug Co, LLC
• Jillian Burgess, PHARMD

• All providers in Enterprise, AL
• Pharmacy in Alabama

• 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.