Individual provider Active NPI

Avery Miller Berkhan, PHARMD, RPH

  • Pharmacist
  • Kennesaw, GA
National Provider Identifier
1023613932
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH032221 Issued in GA
Practice address
740 Ernest W Barrett Pkwy NW
Kennesaw, GA 30144-6860
Phone
(770) 499-1018
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH032221 GA Primary

Addresses

Primary practice location

740 Ernest W Barrett Pkwy NW
Kennesaw, GA 30144-6860

Mailing address

740 Ernest W Barrett Pkwy NW
Kennesaw, GA 30144-6860
Phone (770) 499-1018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH032221GAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1023613932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 ERNEST W BARRETT PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446860",
            "telephone_number": "770-499-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 ERNEST W BARRETT PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446860",
            "telephone_number": "770-499-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKHAN",
        "first_name": "AVERY",
        "middle_name": "MILLER",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH032221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.