Carla Elizabeth Berger, R.PH
Individual provider Active NPI Pharmacist · Setauket, NY
NPI 1609198340 · NPPES record last updated Feb 22, 2010
Key facts
- NPI
- 1609198340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 041977 (NY)
- Practice address
- 682 Route 25a
Setauket, NY 11733-1238 - Phone
- (631) 246-8735
- Fax
- (631) 246-8736
- NPI assigned
- Feb 22, 2010
- Sex
- Female
- 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
- Registered Pharmacist
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 041977 | NY | Yes |
Addresses
Primary practice location
682 Route 25a
Setauket, NY 11733-1238
Mailing address
682 Route 25a
Setauket, NY 11733-1238
Phone (631) 246-8735
Other providers in Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2010. 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.