Mary Geary Berdellans, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS41545 Issued in FL

Practice address

2075 US Highway 1 S
St Augustine, FL 32086-6000

Phone

(904) 829-5240

Fax

(904) 824-3390

NPI assigned

Aug 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1386924892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 US HIGHWAY 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866000",
            "telephone_number": "904-829-5240",
            "fax_number": "904-824-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 US HIGHWAY 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866000",
            "telephone_number": "904-829-5240",
            "fax_number": "904-824-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDELLANS",
        "first_name": "MARY",
        "middle_name": "GEARY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS41545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bisona Yeba Bennett, DNP, APRN, FNP-C
• Cole Reilly Bennett
• Mavis Bennett, PSYCHOLOGIST
• Nancy Frances Bent, ED.D.
• Diana Carol Beranek
• Russell Berger
• Elizabeth Margaret Bergman, DPT
• Emily Marie Berman, DPT
• William D Bermeo, PAC
• Fernando Leon Bernall, A.P.

• Pharmacist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.