Active NPI
Berat Corporation
- Community/Retail Pharmacy
- Glassboro, NJ
National Provider Identifier
1376658153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BERAT CORPORATION
- Practice address
- 201 Dalton Drive
Glassboro, NJ 08028 - Phone
- (856) 863-3668
- Fax
- (856) 863-3685
- NPI assigned
- Aug 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Figueroa Rivera
- Title
- Third Party Administrator
- Phone
- (732) 521-8439
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | RS005419 | NJ | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
201 Dalton Drive
Glassboro, NJ 08028
Mailing address
1230 Blackwood Clementon Rd
Clementon, NJ 08021-5632
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7236905 | Medicaid | NJ | |
| 3138763 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- Shoprite Pharmacy #554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100929000654 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 7012033855 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clementon, NJ; Woodbury Heights, NJ; Williamstown, NJ; West Berlin, NJ; Glassboro, NJ |
| O20100930078303 | NJ | DME Supplier - Pharmacy | 7012033855 | Practice locations: Glassboro, NJ |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Shoprite Pharmacy of Glassboro | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Orthoses: Off-The-Shelf | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Berat Corporation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Woodbury, NJ
- NPI 1093820870
-
- Community/Retail Pharmacy
- West Berlin, NJ
- NPI 1689717605
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285632000000",
"number": "1376658153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 BLACKWOOD CLEMENTON RD",
"city": "CLEMENTON",
"state": "NJ",
"postal_code": "080215632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 DALTON DRIVE",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "08028",
"telephone_number": "856-863-3668",
"fax_number": "856-863-3685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERAT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2010-09-28",
"status": "A",
"authorized_official_last_name": "FIGUEROA RIVERA",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
"authorized_official_telephone_number": "732-521-8439"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NJ",
"license": "RS005419",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7236905",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3138763",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shoprite Pharmacy #554",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Glassboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.