Beringer Drug Store Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

P06107 Issued in KY

Legal business name

BERINGER DRUG STORE INC

Practice address

102 West Main St
Suite a
Warsaw, KY 41095

Phone

(859) 567-4678

Fax

(859) 567-4674

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Patty Long

Title

VP

Phone

(386) 698-3737

Specialties & licenses 2

Addresses

Other identifiers 7

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1346375359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "CRESCENT CITY",
            "state": "FL",
            "postal_code": "321120608",
            "telephone_number": "859-567-4678",
            "fax_number": "859-567-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WEST MAIN ST",
            "address_2": "SUITE A",
            "city": "WARSAW",
            "state": "KY",
            "postal_code": "41095",
            "telephone_number": "859-567-4678",
            "fax_number": "859-567-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERINGER DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "386-698-3737"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P06107",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "PO6107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002039700",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000069795",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133453741",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2047056",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABP",
            "identifier": "22885",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4582049",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KYHEALTH CHOICES",
            "identifier": "5403319600",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard J Ackermann, DMD
• Janet G Bagwell
• Vicky M. Beall, CFNP
• Beringer Drug Store, Inc.
• Thomas M Beringer
• Dale E Bertram, PH.D./MFT
• Jasmine Birchall, APRN
• CCMH Corporation

• All providers in Warsaw, KY
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.