Berkley Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009098 Issued in MI

Legal business name

BERKLEY PHARMACY LLC

Doing business as

Berkley Pharmacy

Practice address

28577 Schoenherr Rd
Warren, MI 48088-4330

Phone

(586) 573-8300

Fax

(586) 573-8301

NPI assigned

Apr 28, 2009

Organization subpart

No

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

Authorized official

Name

Alpesh Patel

Title

Owner

Phone

(813) 304-2221

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Berkley Pharmacy Doing business as

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1083858526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 BRECKENRIDGE PARKWAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33610",
            "telephone_number": "813-304-2221",
            "fax_number": "888-239-8423"
        },
        {
            "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": "586-573-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKLEY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ALPESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-304-2221"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009098",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120025",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria L Benson, CRNA
• Natalie Bergsma, LLMSW
• Bergstrom Home Medical
• Rachel Bering, OD
• Zeinab Berjaoui, NP-C
• Berkley Pharmacy LLC
• Berkley Pharmacy Mi LLC
• Berkley Pharmacy Mi LLC
• Bernard Ball and Assoc Inc
• Ellecia Bernard, PHARM.D.

• Community/Retail Pharmacy in Warren, MI
• Providers in Warren, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.