Active NPI
Berkley Pharmacy Mi LLC
- Community/Retail Pharmacy
- Warren, MI
National Provider Identifier
1013654581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BERKLEY PHARMACY MI LLC
- Doing business as
- Brightscript Pharmacy
- Practice address
- 28577 Schoenherr Rd
Warren, MI 48088 - Phone
- (586) 573-8300
- Fax
- (586) 573-8300
- NPI assigned
- May 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hema Patel
- Title
- Owner
- Phone
- (888) 839-0929
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
28577 Schoenherr Rd
Warren, MI 48088
Mailing address
28577 Schoenherr Rd
Warren, MI 48088-4330
Phone (586) 573-8300
Other names 1
- Brightscript Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230302001768 | MI | Part B Supplier - Pharmacy | 3476926916 | Practice locations: Warren, MI |
National Provider Directory
National Provider Directory- Tax ID family
- Berkley Pharmacy Mi LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Warren, MI
- NPI 1083466312
Locations
28577 Schoenherr Rd
Warren, MI 48088
Phone (586) 573-8300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1013654581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28577 SCHOENHERR RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480884330",
"telephone_number": "586-573-8300",
"fax_number": "586-573-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28577 SCHOENHERR RD",
"city": "WARREN",
"state": "MI",
"postal_code": "48088",
"telephone_number": "586-573-8300",
"fax_number": "586-573-8300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERKLEY PHARMACY MI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-17",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "HEMA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-839-0929"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brightscript Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.