Healthcare Provider Details

I. General information

NPI: 1740160324
Provider Name (Legal Business Name): BRYANA GREGORY PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10919 KEATON LANDING DR
HOUSTON TX
77043-2323
US

IV. Provider business mailing address

10780 WESTVIEW DR. SUITE F - PMB 5008
HOUSTON TX
77043
US

V. Phone/Fax

Practice location:
  • Phone: 530-514-1868
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License NumberPD14748
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License Number63400
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: