East Berlin RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EAST BERLIN RX LLC

Doing business as

East Berlin Pharmacy

Practice address

335 W King St
East Berlin, PA 17316-9730

Phone

(717) 259-0421

Fax

(717) 259-7016

NPI assigned

Sep 21, 2005

Organization subpart

No

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

Authorized official

Name

Venugopal Narramneni

Title

Member

Phone

(717) 259-0421

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EAST BERLIN PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Tax ID family

East Berlin RX LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• East Berlin RX LLC

  dba East Berlin Pharmacy

  • Oxygen Equipment & Supplies (DME)
  • East Berlin, PA
  • NPI 1346845195
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prince Jain

  • Pharmacist
  • Oxford, PA
  • NPI 1467769174
  NPD
• Andrew Altobelli

  • Pharmacist
  • East Berlin, PA
  • NPI 1386198299
  NPD (past)
• Philip M Derienzo, PHARM D

  • Pharmacist
  • East Berlin, PA
  • NPI 1609860469
  NPD (past)
• Jeffrey Klare Holdren, RPH

  • Pharmacist
  • East Berlin, PA
  • NPI 1174517684
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1407842974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "address_2": "335 WEST KING STREET",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173161005",
            "telephone_number": "717-259-0421",
            "fax_number": "717-259-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W KING ST",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173169730",
            "telephone_number": "717-259-0421",
            "fax_number": "717-259-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BERLIN RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "NARRAMNENI",
        "authorized_official_first_name": "VENUGOPAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "717-259-0421"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037282110001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST BERLIN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EAST BERLIN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kari Cover, LPC
• Philip M Derienzo, PHARM D
• East Berlin Foot and Ankle Center, PC
• East Berlin Foot and Ankle Center,PC
• East Berlin RX LLC (East Berlin Pharmacy)
• Stephanie Jane Ellwood, DO
• Stanley Joseph Falenski, RPH
• Melissa Jane Gammie, PA-C
• Annie Melinda Harberger, D.O.
• Samantha Hardy

• Community/Retail Pharmacy in East Berlin, PA
• Providers in East 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 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.