Active NPI
Michael Berns, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Fort Wainwright, AK
National Provider Identifier
1174913271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 26024695A
- Practice address
- 1060 Gaffney Rd
#7400
Ft Wainwright, AK 99703-5002 - Phone
- (907) 361-2317
- Fax
- (907) 361-4838
- NPI assigned
- Jan 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26024695A | IN | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 26024695A | IN | Primary |
Addresses
Primary practice location
1060 Gaffney Rd
#7400
Ft Wainwright, AK 99703-5002
Mailing address
4076 Neely Rd
Ft Wainwright, AK 99703-5002
Phone (907) 361-2317
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 |
|---|---|---|---|
| 26024695A | IN | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1174913271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4076 NEELY RD",
"city": "FT WAINWRIGHT",
"state": "AK",
"postal_code": "997035002",
"telephone_number": "907-361-2317",
"fax_number": "907-361-4838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 GAFFNEY RD",
"address_2": "#7400",
"city": "FT WAINWRIGHT",
"state": "AK",
"postal_code": "997035002",
"telephone_number": "907-361-2317",
"fax_number": "907-361-4838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNS",
"first_name": "MICHAEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-27",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26024695A",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "IN",
"license": "26024695A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wainwright, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.