Bridge Street Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

07272 Issued in NC

Legal business name

BRIDGE STREET PHARMACY, INC

Practice address

817 N Bridge St
Elkin, NC 28621-3008

Phone

(336) 835-3131

NPI assigned

Nov 14, 2008

Last updated

Nov 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adam Gordon Ripley, PHARMD, RPH

Title

Vice President

Phone

(336) 835-3131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1902050115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 N BRIDGE ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286213008",
            "telephone_number": "336-835-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 N BRIDGE ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286213008",
            "telephone_number": "336-835-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE STREET PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "RIPLEY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "336-835-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "07272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Brooke Bowman, PHARMACY STUDENT
• Joseph Warren Bretz IV, M.ED., LPC
• Kala Brown Brewer, O.D.
• Bridge Street Pharmacy Inc
• Bridge Street Pharmacy Inc
• BRMG-PC
• Carl Brown
• Henry Stephen Brown, RPH
• Melissa Willard Bryant, FNP-C
• BT Heart and Vascular Center, PLLC (The Heart and Vascular Center)

• Community/Retail Pharmacy in Elkin, NC
• Providers in Elkin, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.