York Hospital Berwick Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH50001236 Issued in ME

Legal business name

YORK HOSPITAL BERWICK PHARMACY

Doing business as

York Hospital Berwick Pharmacy

Practice address

4 Dana LN
Berwick, ME 03901-2767

Phone

(207) 698-6740

Fax

(207) 698-6749

NPI assigned

Jun 9, 2006

Last updated

Jul 19, 2018By 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

Marian Reilly, BS PHARM

Title

Director of Pharmacy

Phone

(207) 351-2314

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• YORK HOSPITAL BERWICK PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1407897366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DANA LN",
            "city": "BERWICK",
            "state": "ME",
            "postal_code": "039012767",
            "telephone_number": "207-698-6740",
            "fax_number": "207-698-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DANA LN",
            "city": "BERWICK",
            "state": "ME",
            "postal_code": "039012767",
            "telephone_number": "207-698-6740",
            "fax_number": "207-698-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK HOSPITAL BERWICK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "207-351-2314",
        "authorized_official_credential": "BS PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ME",
            "license": "PH50001236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2037586",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407897366",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30706562",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YORK HOSPITAL BERWICK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Ulery, LICSW
• Desiray Walsh
• Daniele West, IPDH
• Aubrey L Wilson, MS,OTR/L
• York Hospital (York Hospital Berwick Walk-In Care)

• Community/Retail Pharmacy in Berwick, ME
• Providers in Berwick, ME by specialty
• Community/Retail Pharmacy in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.