Richard L Berry Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021031400 Issued in OH

Legal business name

RICHARD L BERRY PHARMACY INC

Doing business as

Berry's Pharmacy

Practice address

4405 Mahoning Ave
Austintown, OH 44515-1602

Phone

(330) 792-6585

Fax

(330) 792-3381

NPI assigned

Oct 2, 2006

Last updated

Apr 18, 2019By 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

Richard BerryNPI 1740873983

Title

Owner

Phone

(330) 921-9160

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• BERRY'S PHARMACY Doing business as

Locations

Practitioners 2

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.

• Richard L Berry

  • Pharmacist
  • Youngstown, OH
  • NPI 1740873983
  NPD Authorized official
• Kristen Patch, RPH

  • Pharmacist
  • Youngstown, OH
  • NPI 1992398036
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1346333143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 MAHONING AVE",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151602",
            "telephone_number": "330-792-6585",
            "fax_number": "330-792-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 MAHONING AVE",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151602",
            "telephone_number": "330-792-6585",
            "fax_number": "330-792-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L BERRY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-921-9160"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021031400",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2028004",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072270",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BERRY'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Repucci
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• James L Reynolds
• Charity Sue Ricciardi, LMT
• Frank Angelo Rich, MD
• Mary Ritter
• Ricki Rivera, CDCA
• Laurel A Robertson, CDCA
• David Robinson Sr.
• Thomas Robinson, CDCA

• Community/Retail Pharmacy in Austintown, OH
• Providers in Austintown, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.