J.Bryan, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009369 Issued in GA

Legal business name

J.BRYAN, INC

Practice address

900 Gray Hwy
Macon, GA 31211-1834

Phone

(478) 741-3718

Fax

(478) 741-6559

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Wade W Scott, R.PH.NPI 1700472941

Title

Pharmacist/President

Phone

(478) 741-3718

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Scott's Pharmacy # 2 Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wade Warrick Scott, RPH

  • Pharmacist
  • Macon, GA
  • NPI 1700472941
  NPD Authorized official
• Bryan W Scott

  • Pharmacist
  • Macon, GA
  • NPI 1780270975
  NPD

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1922031244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2267",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312032267",
            "telephone_number": "478-741-3718",
            "fax_number": "478-741-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GRAY HWY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111834",
            "telephone_number": "478-741-3718",
            "fax_number": "478-741-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.BRYAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHARMACIST/PRESIDENT",
        "authorized_official_telephone_number": "478-741-3718",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009369",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "GA",
            "license": "PHRE009369",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHRE007469",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00521221B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00521221A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1138278",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott's Pharmacy # 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Ivey, PA-C
• Bridget Martin Ivey, LMSW
• Donna Purvis Ivey, PH.D.
• Norman Tyrus Ivey, DDS
• J Gregory Jones MD PC
• J.H. Harvey Co., LLC
• Jackson Lake Hospice Inc
• Aisha Jackson
• Billie Luke Jackson, M.D.
• Ellis R Jackson, CRNA

• Community/Retail Pharmacy in Macon, GA
• Providers in Macon, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.