Active NPI
Judith Ann Berrettini
- Pharmacist
- Round Rock, TX
National Provider Identifier
1659963296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26550
- Practice address
- 7001 Wyoming Springs Dr
Round Rock, TX 78681-4317 - Phone
- (512) 716-0757
- NPI assigned
- Feb 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26550 | TX | Primary |
Addresses
Primary practice location
7001 Wyoming Springs Dr
Round Rock, TX 78681-4317
Mailing address
709 Theresa CV
Cedar Park, TX 78613-4042
Phone (281) 486-4864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26550 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Stafford, TX
- NPI 1427931351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1659963296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 THERESA CV",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786134042",
"telephone_number": "281-486-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 WYOMING SPRINGS DR",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814317",
"telephone_number": "512-716-0757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRETTINI",
"first_name": "JUDITH",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-04",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "26550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.