Madalyn R Bryan, PHARMD
Individual provider Active NPI Pharmacist · Milan, TN
NPI 1942955596 · NPPES record last updated Oct 18, 2023
Key facts
- NPI
- 1942955596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 45238 (TN)
- Practice address
- 6068 S 1St St
Milan, TN 38358-3131 - Phone
- (731) 686-1557
- NPI assigned
- Feb 12, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45238 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 45238 | TN | Yes |
Addresses
Primary practice location
6068 S 1St St
Milan, TN 38358-3131
Mailing address
6068 S 1St St
Milan, TN 38358-3131
Other providers in Milan, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.