Berat Corporation
Organization Active NPI Pharmacy · Williamstown, NJ
NPI 1679688451 · NPPES record last updated Sep 28, 2010
Key facts
- NPI
- 1679688451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- RS004065 (NJ)
- Legal business name
- BERAT CORPORATION
- Practice address
- 100 S Black Horse Pike
Williamstown, NJ 08094-1560 - Phone
- (856) 728-7474
- Fax
- (856) 728-1234
- NPI assigned
- Aug 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Melissa Figueroa Rivera
- Title
- Third Party Administrator
- Phone
- (732) 521-8439
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 3
Member of 2
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100929000654 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 7012033855 |
4 other NPIs on this enrollment Practice locations: Clementon, NJ; Woodbury Heights, NJ; Williamstown, NJ; West Berlin, NJ; Glassboro, NJ |
National Provider Directory
Locations
100 S Black Horse Pike
Williamstown, NJ 08094
Phone (856) 728-7474
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | RS004065 | NJ | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
100 S Black Horse Pike
Williamstown, NJ 08094-1560
Mailing address
1230 Blackwood Clementon Rd
Clementon, NJ 08021-5632
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4393201 | Medicaid | NJ | |
| 3129093 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- Shoprite Pharmacy #504
Other providers in Williamstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.