Individual provider Active NPI

Darby Alison Beranek, PHARMD

  • Pharmacist
  • Maumelle, AR
National Provider Identifier
1376975227
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD11082 Issued in AR
Practice address
1900 Club Manor Dr Ste 101
Maumelle, AR 72113-7443
Phone
(501) 274-1130
Fax
(501) 274-1131
NPI assigned
Aug 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD11082 AR Primary

Addresses

Primary practice location

1900 Club Manor Dr Ste 101
Maumelle, AR 72113-7443

Mailing address

1900 Club Manor Dr Ste 101
Maumelle, AR 72113-7443
Phone (501) 274-1130

Other identifiers 1

IdentifierTypeStateIssuer
PD11082OtherARPHARMACIST LICENSE NUMBER

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PD11082ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacq Inc Past Accepting new patients
Pharmacq Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1376975227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CLUB MANOR DR STE 101",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137443",
            "telephone_number": "501-274-1130",
            "fax_number": "501-274-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CLUB MANOR DR STE 101",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137443",
            "telephone_number": "501-274-1130",
            "fax_number": "501-274-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERANEK",
        "first_name": "DARBY",
        "middle_name": "ALISON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD11082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "PD11082",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumelle, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.