Berry Oaks Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27122 Issued in TX

Legal business name

BERRY OAKS PHARMACY, LLC

Practice address

19851 West Highway 46 Ste 204
Spring Branch, TX 78070

Phone

(830) 980-5308

Fax

(830) 980-5309

NPI assigned

Sep 30, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Mark David Newberry, PHARM D

Title

Managing Member

Phone

(512) 478-6419

Specialties & licenses 1

Addresses

Other names 1

• Berry Oaks Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1295044816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19851 WEST HIGHWAY 46 STE 204",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "78070",
            "telephone_number": "830-980-5308",
            "fax_number": "830-980-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19851 WEST HIGHWAY 46 STE 204",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "78070",
            "telephone_number": "830-980-5308",
            "fax_number": "830-980-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY OAKS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "NEWBERRY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "512-478-6419",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berry Oaks Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Spring Branch, TX
• Providers in Spring Branch, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.