Kassandra Berg, PHARMD
Individual provider Active NPI Pharmacist · Travelers Rest, SC
NPI 1295463164 · NPPES record last updated Feb 3, 2023
Key facts
- NPI
- 1295463164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 43617 (SC)
- Practice address
- 100 Little Texas Rd
Travelers Rest, SC 29690-9428 - Phone
- (864) 834-4451
- NPI assigned
- Aug 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43617 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
100 Little Texas Rd
Travelers Rst, SC 29690
Phone (864) 834-4451
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 43617 | SC | Yes |
Addresses
Primary practice location
100 Little Texas Rd
Travelers Rest, SC 29690-9428
Mailing address
100 Little Texas Rd
Travelers Rest, SC 29690-9428
Phone (864) 834-4451
Other providers in Travelers Rest, SC
- Martha Isabel Ball
- Gabrielle Bedell
- Norma Bedell
- Stephen R Bennett
- Brian Miller Benson III
- Matthew Bialkowski
- Nicole Birnhak
- Sarah Anna Blum-Sheller
- Hannah Moore Blume
- Bon Secours Medical Group Greenville Specialty Care LLC
All providers in Travelers Rest, SC · Pharmacist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2023. 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.