Berlin Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00736200 Issued in NJ

Legal business name

BERLIN PHARMACY LLC

Practice address

360 S White Horse Pike
Unit C
Berlin, NJ 08009-1974

Phone

(856) 336-2855

NPI assigned

Mar 13, 2014

Last updated

May 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thelma Uchenna Odoemene, PHARMACISTNPI 1861708737

Title

Owner

Phone

(856) 776-3128

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thelma Uchenna Odoemene, RPH

  • Pharmacist
  • Atco, NJ
  • NPI 1861708737
  NPD Authorized official

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1053737155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S WHITE HORSE PIKE",
            "address_2": "UNIT C",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091974",
            "telephone_number": "856-336-2855",
            "fax_number": "856-809-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S WHITE HORSE PIKE",
            "address_2": "UNIT C",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091974",
            "telephone_number": "856-336-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERLIN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "ODOEMENE",
        "authorized_official_first_name": "THELMA",
        "authorized_official_middle_name": "UCHENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-776-3128",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00736200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0605417",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berlin Inter Community Ambulance Association
• Berlin Medical Assco
• Berlin Medical Associates (Comprehensive Clinical Research)
• Berlin Medical Associates, P.a.
• Berlin Operator LLC (Berlin Rehabilitation and Healthcare Center)
• Berlin Physical Therapy
• Bespoke Rehab (Epic Physical Therapy)
• Kelsey Biondi, PA
• Shawn Bittner
• Leah Bowden, PSY.D.

• Community/Retail Pharmacy in Berlin, NJ
• Providers in Berlin, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.