NPIMap

Organization Active NPI

Berks Community Health Center

  • Pharmacy
  • Reading, PA
National Provider Identifier
1669130209
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BERKS COMMUNITY HEALTH CENTER
Practice address
1110 Rockland St
Reading, PA 19604-1501
Phone
(610) 988-3848
Fax
(484) 772-1112
NPI assigned
Dec 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Mary Helen Kargbo
Title
President/Ceo
Phone
(484) 772-4091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 1835P2201X
Pharmacy 333600000X Primary

Addresses

Primary practice location

1110 Rockland St
Reading, PA 19604-1501

Mailing address

645 Penn St Ste 301
Reading, PA 19601-3527
Phone (484) 772-4091

Other identifiers 1

IdentifierTypeStateIssuer
AA0003086596MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Berks Community Health Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

645 Penn St
Ste 301
Reading, PA 19601
Phone (484) 772-4073

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1669130209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 PENN ST STE 301",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013527",
            "telephone_number": "484-772-4091",
            "fax_number": "610-374-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ROCKLAND ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041501",
            "telephone_number": "610-988-3848",
            "fax_number": "484-772-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKS COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "KARGBO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "484-772-4091"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Ambulatory Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AA0003086596",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.