Organization Active NPI

Bryars-Warren Drug Co

  • Pharmacy
  • Enterprise, AL
National Provider Identifier
1891965315
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
101880 Issued in AL
Legal business name
BRYARS-WARREN DRUG CO
Practice address
112 N Main St
Enterprise, AL 36330-2537
Phone
(334) 347-2506
Fax
(334) 393-8155
NPI assigned
Mar 12, 2008
Last updated
Mar 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
George R CannonNPI 1720126741
Title
Owner/Pharmacist
Phone
(334) 347-2506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 101880 AL Primary

Addresses

Primary practice location

112 N Main St
Enterprise, AL 36330-2537

Mailing address

112 N Main St
Enterprise, AL 36330-2537
Phone (334) 347-2506

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1891965315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N MAIN ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302537",
            "telephone_number": "334-347-2506",
            "fax_number": "334-393-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N MAIN ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302537",
            "telephone_number": "334-347-2506",
            "fax_number": "334-393-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYARS-WARREN DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "334-347-2506"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "101880",
            "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 Mar 12, 2008; 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.