Organization Active NPI

Berwick Community Pharmacy Inc

  • Community/Retail Pharmacy
  • Berwick, PA
National Provider Identifier
1609335983
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BERWICK COMMUNITY PHARMACY INC
Practice address
500 Fowler Ave Ste 202
Berwick, PA 18603-3326
Phone
(570) 497-4970
NPI assigned
Mar 18, 2019
Last updated
Mar 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
H Patel
Title
Member
Phone
(484) 392-7848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

500 Fowler Ave Ste 202
Berwick, PA 18603-3326

Mailing address

PO Box 855
Trexlertown, PA 18087-0855
Phone (570) 497-4970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201201000894 PA Part B Supplier - Mass Immunization (Roster Biller Only) 4385055003 Practice locations: Berwick, PA
O20211025001612 PA DME Supplier - Pharmacy 4385055003 Practice locations: Berwick, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Berwick Community Pharmacy Inc500 Fowler Ave, Berwick, PA 18603-3326(570) 520-4170 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Dec 1, 2020

National Provider Directory

National Provider Directory

Locations

500 Fowler Ave
Ste 202
Berwick, PA 18603
Phone (570) 520-4170

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1609335983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 855",
            "city": "TREXLERTOWN",
            "state": "PA",
            "postal_code": "180870855",
            "telephone_number": "570-497-4970",
            "fax_number": "570-497-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FOWLER AVE STE 202",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186033326",
            "telephone_number": "570-497-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERWICK COMMUNITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "H",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "484-392-7848"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwick, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.