Elizabeth Berberich
Individual provider Active NPI Pharmacist · Spencer, IA
NPI 1669977161 · NPPES record last updated Mar 27, 2018
Key facts
- NPI
- 1669977161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 23032 (IA)
- Practice address
- 715 S Grand Ave
Spencer, IA 51301-5731 - Phone
- (712) 262-1523
- NPI assigned
- Mar 27, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 23032 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Drug Enterprises Inc | Past | Accepting new patients | |
| White Drug Enterprises Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23032 | IA | Yes |
Addresses
Primary practice location
715 S Grand Ave
Spencer, IA 51301-5731
Mailing address
5 Stoneybrook Cir SW
Spencer, IA 51301-5806
Other providers in Spencer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2018. 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.