Carol A Berger, R. PH
Individual provider Active NPI Pharmacist · Omaha, NE
NPI 1114259702 · NPPES record last updated Feb 5, 2010
Key facts
- NPI
- 1114259702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 9613 (NE)
- Practice address
- 11134 Q St
Omaha, NE 68137-3609 - Phone
- (402) 592-5244
- Fax
- (402) 592-2501
- NPI assigned
- Feb 5, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9613 | NE | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9613 | NE | Yes |
Addresses
Primary practice location
11134 Q St
Omaha, NE 68137-3609
Mailing address
11134 Q St
Omaha, NE 68137-3609
Phone (402) 592-5244
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.