Bertram Ripley Pharmacy – Community/Retail Pharmacy

Key facts

NPI: 1013687235
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
Legal business name: BERTRAM RIPLEY PHARMACY
Practice address: 100 Main St
Ripley, OH 45167-1232
Phone: (937) 392-4020
Fax: (937) 392-4078
NPI assigned: Sep 18, 2021
Organization subpart: No

Authorized official

Name: Dr. Alexander Bertram, PHARMD, MS
Title: Owner
Phone: (937) 392-4020

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Shelley Ohara Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Ripley, OH · NPI 1922898980

NPD
Alexander Clay Bertram, PHARMD Pharmacist · Ripley, OH · NPI 1992834394

NPD (past)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
36D2335047	Bertram Ripley Pharmacy 100 Main St, Ripley, OH 45167	Certificate of waiver	Dec 4, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OH

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20220405003187	OH	Part B Supplier - Pharmacy	3274929963	Practice locations: Ripley, OH

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Retail Pharmacy	3336C0003X			Yes

Addresses

Primary practice location

100 Main St
Ripley, OH 45167-1232

Mailing address

100 Main St
Ripley, OH 45167-1232
Phone (937) 392-4020

Other names

Bristow Pharmacy Doing business as

Other providers in Ripley, OH

All providers in Ripley, OH · Community/Retail Pharmacy in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.