Kevin James Bertha, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

13098 Issued in MD

Practice address

301 Hospital Drive
Baltimore Washington Med. Ctr, Pharmacy Department
Glen Burnie, MD 21061-5803

Phone

(410) 787-4873

Fax

(410) 595-1974

NPI assigned

Sep 1, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1497202089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DRIVE",
            "address_2": "BALTIMORE WASHINGTON MED. CTR, PHARMACY DEPARTMENT",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-787-4873",
            "fax_number": "410-595-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DRIVE",
            "address_2": "BALTIMORE WASHINGTON MED. CTR, PHARMACY DEPARTMENT",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-787-4873",
            "fax_number": "410-595-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHA",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "13098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin E Bernhard, PA-C
• Harriet Elizabeth Bernola, LCPC
• Michael Tobias Bernstein, M.D.
• Dwight Leon Berry, D.D.S
• Elise Wendy Bershaw, LCSW-C
• Arturo Esteban Betancourt, MD
• Bethel Health Agency
• Elizabeth Bevilacqua, AU.D.
• Monica Bhagat, MD
• Nisha Rani Bhardwaj, AGAC CRNP

• Pharmacist in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.