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BRYAN PHARMACY INC SOUTHSIDE
NPI 1104273002
Pharmacy - Community/Retail Pharmacy in Enterprise, AL

Active since May 20, 2016CLIA 01D2097987 · Waiver
6580 BOLL WEEVIL CIR, ENTERPRISE, AL 36330(334) 417-4111(334) 417-4114 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bryan Pharmacy Inc Southside NPPES

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

BRYAN PHARMACY INC SOUTHSIDE (NPI 1104273002) is a healthcare organization registered as a community/retail pharmacy in Enterprise, Alabama and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Hubert Bryan, Owner, as its authorized official.

NPPES Registry Identity

NPI1104273002
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBRYAN PHARMACY INC
Location Address6580 BOLL WEEVIL CIREnterprise, AL 36330-9424
Mailing Address6580 Boll Weevil CircleEnterprise, AL 36330 · (334) 417-4111 · Fax (334) 417-4111
Phone(334) 417-4111
Fax(334) 417-4114
Organization SubpartNo
Authorized OfficialHubert BryanOwner · (334) 347-5111
Enumeration DateMay 20, 2016
Last NPPES UpdateAugust 2, 2016
✔ NPI 1104273002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AL · 114626
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
6580 BOLL WEEVIL CIR, Enterprise, AL 36330
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Other Names 1

Doing Business AsBryan Pharmacy Inc Southside

Other Identifiers 1

Other2160202Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2097987

Bryan Pharmacy Inc · Enterprise, AL
Active · expires Jun 28, 2027
CLIA Number01D2097987
Laboratory TypePharmacy
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorGibes Gibes Pharm D
Laboratory Phone(334) 347-5111
Laboratory LocationBryan Pharmacy Inc736 Glover Ave, Enterprise, AL 36330
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. JOSEPH TRENTON WOOD PHARMD
Pharmacist
6580 BOLL WEEVIL CIR
ENTERPRISE, AL 36330
Coffee County (334) 417-4111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Pharmacy Inc's NPI number?

The NPI number for Bryan Pharmacy Inc is 1104273002. It was assigned to this organization in the NPPES registry on May 20, 2016. The provider is doing business as Bryan Pharmacy Inc Southside.

Where is Bryan Pharmacy Inc located?

Bryan Pharmacy Inc is located at 6580 Boll Weevil Cir, Enterprise, AL 36330. The listed phone number is (334) 417-4111.

What is Bryan Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Bryan Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2097987) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bryan Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Bryan Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryan Pharmacy Inc was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.