Robert Michael Bero II, PHARMD
Individual provider Active NPI Pharmacist · Bayboro, NC
NPI 1477811313 · NPPES record last updated Aug 12, 2014
Key facts
- NPI
- 1477811313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 22738 (NC)
- Practice address
- 702 Main St
Bayboro, NC 28515-9634 - Phone
- (252) 745-5539
- NPI assigned
- Apr 29, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016127 | KY | MD | Pharmacist |
| 22738 | NC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 016127 | KY | |
| Pharmacist | 183500000X | 22738 | NC | Yes |
Addresses
Primary practice location
702 Main St
Bayboro, NC 28515-9634
Mailing address
702 Main St
Bayboro, NC 28515-9634
Phone (252) 745-5539
Other providers in Bayboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.