Active NPI
Ann Marie Bercaw, PHARM D
- Pharmacist
- Henderson, KY
National Provider Identifier
1124276399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11146
- Practice address
- 1355 2ND St
Henderson, KY 42420-3357 - Phone
- (270) 827-9857
- Fax
- (270) 826-8377
- NPI assigned
- Aug 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11146 | KY | Primary |
Addresses
Primary practice location
1355 2ND St
Henderson, KY 42420-3357
Mailing address
1355 2ND St
Henderson, KY 42420-3357
Phone (270) 827-9857
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11146 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219968000000",
"number": "1124276399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 2ND ST",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424203357",
"telephone_number": "270-827-9857",
"fax_number": "270-826-8377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 2ND ST",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424203357",
"telephone_number": "270-827-9857",
"fax_number": "270-826-8377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERCAW",
"first_name": "ANN",
"middle_name": "MARIE",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-29",
"last_updated": "2008-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "11146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.