Berea Drug Co Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

BEREA DRUG CO INC

Practice address

402 Richmond Rd N Ste a
Berea, KY 40403-1133

Phone

(859) 986-4521

Fax

(859) 985-0839

NPI assigned

May 14, 2024

Last updated

May 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Jay Little, PHARM DNPI 1134716988

Title

Pic

Phone

(859) 986-4521

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Jay Little, PHARMD

  • Pharmacist
  • Berea, KY
  • NPI 1134716988
  NPD Authorized official
• Brianna Michele Burdette, PHARMD

  • Pharmacist
  • Berea, KY
  • NPI 1073262069
  NPD
• Sally Stiltner, CPHT

  • Pharmacy Technician
  • Berea, KY
  • NPI 1598561342
  NPD

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1336998210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 RICHMOND RD N STE A",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031133",
            "telephone_number": "859-986-4521",
            "fax_number": "859-985-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 RICHMOND RD N STE A",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031133",
            "telephone_number": "859-986-4521",
            "fax_number": "859-985-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEREA DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "859-986-4521",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Bennett, MD
• John Melton Bennett, MD, MPH
• Berea Area Development LLC (The Terrace Nursing and Rehabilitation Facility)
• Berea Clinic of Internal Medicine, PSC
• Berea College Health Service
• Berea Drug Co Inc (Berea Drug)
• Berea Health Care, Inc.
• Berea Health Ministry, Inc
• Berea Healthcare, LLC (Berea Acquisition, LLC)
• Berea Hospital Inc.

• Long Term Care Pharmacy in Berea, KY
• Providers in Berea, KY by specialty
• Long Term Care Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.