Active NPI
Trevor Alan Bertsch, PHARMD, MBA
- Pharmacist
- Le Mars, IA
National Provider Identifier
1316428667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14248
- Practice address
- 714 Lincoln St NE
Le Mars, IA 51031-3311 - Phone
- (712) 546-3738
- Fax
- (712) 546-3747
- NPI assigned
- Aug 24, 2018
- Last updated
- Aug 6, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14248 | NE | Primary |
Addresses
Primary practice location
714 Lincoln St NE
Le Mars, IA 51031-3311
Mailing address
1250 Central Ave SE
Le Mars, IA 51031-2721
Phone (402) 644-1578
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14248 | NE | MD | Pharmacist |
Interoperability endpoints
- trevorbertsch@u-savepharmacyofnorfolk.libertysoftwaredirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1316428667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 CENTRAL AVE SE",
"city": "LE MARS",
"state": "IA",
"postal_code": "510312721",
"telephone_number": "402-644-1578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 LINCOLN ST NE",
"city": "LE MARS",
"state": "IA",
"postal_code": "510313311",
"telephone_number": "712-546-3738",
"fax_number": "712-546-3747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTSCH",
"first_name": "TREVOR",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PHARMD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-24",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "14248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Le Mars, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.