Organization Active NPI

Berkley Pharmacy Mi LLC

  • Long Term Care Pharmacy
  • Warren, MI
National Provider Identifier
1083466312
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BERKLEY PHARMACY MI LLC
Doing business as
Brightscript Pharmacy
Practice address
28577 Schoenherr Rd
Warren, MI 48088-4330
Phone
(586) 573-8300
Fax
(576) 573-8301
NPI assigned
Apr 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Hema M Patel
Title
Owner
Phone
(248) 552-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

28577 Schoenherr Rd
Warren, MI 48088-4330

Mailing address

28577 Schoenherr Rd
Warren, MI 48088-4330
Phone (586) 573-8300

Other names 1

  • Brightscript Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Berkley Pharmacy Mi LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1083466312",
    "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": "576-573-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28577 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884330",
            "telephone_number": "586-573-8300",
            "fax_number": "576-573-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKLEY PHARMACY MI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HEMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-552-6600"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Apr 2, 2024; 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.