Teresa Vivian Berg-Crooks, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH4329 Issued in ND

Practice address

323 Central Ave N
Valley City, ND 58072-2915

Phone

(701) 845-5280

NPI assigned

Dec 16, 2022

Last updated

Aug 8, 2023By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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

• Central Avenue Pharmacy, Inc

  dba Central Avenue Pharmacy

  • Community/Retail Pharmacy
  • Valley City, ND
  • NPI 1669546149

  Pharmacist

  NPD (past)
• MD Pharmacy LLC

  dba M-D Pharmacy

  • Community/Retail Pharmacy
  • Fargo, ND
  • NPI 1396184750
  NPD (past)

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1447962899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11386 33K ST SE",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580729447",
            "telephone_number": "701-840-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 CENTRAL AVE N",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580722915",
            "telephone_number": "701-845-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG-CROOKS",
        "first_name": "TERESA",
        "middle_name": "VIVIAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH4329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "N",
            "address_1": "4101 13th Ave S",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581033342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denise G Awender
• Barnes County Ambulance Inc
• Barnes County Social Services
• Lisa Bayley-Neurauter
• Kathleen Bennett Zaun
• Caron L Berg, D.D.S.
• Ruth Lynn Berg
• Trent William Bitz, FNP-C
• Kendall William Bjerke
• Lori L Bjerke

• Pharmacist in Valley City, ND
• Providers in Valley City, ND by specialty
• Pharmacist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.