MR. CHARLES EDWIN BRYDEN RPH
NPI 1104005628
Pharmacist in Malone, NY

Active since November 01, 2007
3400 STATE ROUTE 11, MALONE, NY 12953(518) 483-4110(518) 483-2815 Get Directions Write a Review

NPPES record last updated: February 17, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Charles Edwin Bryden Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES EDWIN BRYDEN RPH (NPI 1104005628) is an individual pharmacist in Malone, New York, licensed in New York (31188) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1104005628
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. CHARLES EDWIN BRYDENCredential: RPH
Location Address3400 STATE ROUTE 11Malone, NY 12953-4714
Mailing Address3400 State Route 11Malone, NY 12953-4714 · (518) 483-4110 · Fax (518) 483-2815
Fax(518) 483-2815
Sole ProprietorNo
Enumeration DateNovember 1, 2007
Last NPPES UpdateFebruary 17, 2010
NPI 1104005628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 31188
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

3400 STATE ROUTE 11, Malone, NY 12953

Other Identifiers 1

Medicaid00561995NY

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
3400 STATE ROUTE 11
MALONE, NY 12953
Pharmacist
3400 STATE ROUTE 11
MALONE, NY 12953
Pharmacist
3400 STATE ROUTE 11
MALONE, NY 12953
Pharmacist
3400 STATE ROUTE 11
MALONE, NY 12953

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104005628, enumerated as an "individual" on November 01, 2007.

The provider is located at 3400 STATE ROUTE 11 MALONE, NY 12953 and the phone number is (518) 483-4110.

Pharmacist with taxonomy code 183500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.