Jonico Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP412109L Issued in PA

Legal business name

JONICO INC

Doing business as

Berlin Pharmacy

Practice address

413 Broadway St
Berlin, PA 15530-1001

Phone

(814) 267-4013

NPI assigned

Jan 9, 2007

Last updated

Jul 9, 2025By 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

Jonathan D Jacobs, RPHNPI 1245816297

Title

Owner

Phone

(814) 445-6089

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Berlin Pharmacy Doing business as

Locations

Practitioners 1

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.

• Jonathan Jacobs, RPH

  • Pharmacist
  • Berlin, PA
  • NPI 1245816297
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1396894564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 ANTRAM RD",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155018861",
            "telephone_number": "814-267-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 BROADWAY ST",
            "city": "BERLIN",
            "state": "PA",
            "postal_code": "155301001",
            "telephone_number": "814-267-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONICO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-445-6089",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412109L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007513050003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berlin Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bradley Garrett Fairman, D.C.
• Crystal Lynn Fairman, D.C.
• Adam Goodman, M.D.
• Jonathan Jacobs, RPH
• Jonico Inc (Berlin Pharmacy)
• Julia Nicole Kalp, LCSW
• Jay Michael Kennedy, D.C.
• Glenn Wayne Kreinbrook, D.C.
• Michelle Kush, PT,MPT
• Cheng-Wei Liu

• Community/Retail Pharmacy in Berlin, PA
• Providers in Berlin, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.