Maria Berec, PHARMACISTS
Individual provider Active NPI Pharmacist · Mobile, AL
NPI 1649663147 · NPPES record last updated Mar 9, 2015
Key facts
- NPI
- 1649663147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 178941 (AL)
- Practice address
- 1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341 - Phone
- (251) 432-4117
- Fax
- (251) 436-7765
- NPI assigned
- Mar 9, 2015
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178941 | AL | MD | Pharmacist |
| 17891 | AL | MD | Psychiatric Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 178941 | AL | Yes |
| Geriatric Pharmacist | 1835G0303X | 17891 | AL | |
| Nutrition Support Pharmacist | 1835N1003X | 17891 | AL | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 17891 | AL | |
| Psychiatric Pharmacist | 1835P1300X | 17891 | AL | |
| Pharmacy Technician | 183700000X | 17891 | AL |
Addresses
Primary practice location
1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Mailing address
PO Box 2048
Mobile, AL 36652-2048
Phone (251) 964-4011
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17891 | Other | AL | STATE OF ALABAMA LICENSE |
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2015. 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.