Healthcare Provider Details

I. General information

NPI: 1902710676
Provider Name (Legal Business Name): EMILY BRYSON PHARMD, BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MARY ST
EVANSVILLE IN
47710-1658
US

IV. Provider business mailing address

4455 SUMMER CREEK LN
NEWBURGH IN
47630-8594
US

V. Phone/Fax

Practice location:
  • Phone: 812-450-3990
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number014265
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number26022529A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: