Berks Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482444 Issued in PA

Legal business name

BERKS PHARMACY LLC

Practice address

500 Penn St Ste B
Reading, PA 19602-1085

Phone

(610) 373-1800

Fax

(610) 373-1818

NPI assigned

Aug 16, 2017

Last updated

Feb 7, 2024By 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

Pushpalu Paladugu

Title

Pic

Phone

(610) 373-1800

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BERKS DISCOUNT PHARMACY Other name

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1548786122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PENN ST STE B",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021085",
            "telephone_number": "610-373-1800",
            "fax_number": "610-373-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PENN ST STE B",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021085",
            "telephone_number": "610-373-1800",
            "fax_number": "610-373-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "PALADUGU",
        "authorized_official_first_name": "PUSHPALU",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "610-373-1800"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2170869",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033654380001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BERKS DISCOUNT PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Berks Radiation Oncology Associates PC
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• Berkshire Psychiatric & Behavioral Health Services, PLLC

• Community/Retail Pharmacy in Reading, PA
• Providers in Reading, 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 Feb 7, 2024; 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.