Organization Active NPI

Berry Pharmacist Group LLC

Doing business as Mason Family Drug

  • Community/Retail Pharmacy
  • Maysville, KY
National Provider Identifier
1699070896
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07435 Issued in KY
Legal business name
BERRY PHARMACIST GROUP LLC
Doing business as
Mason Family Drug
Practice address
912 Kenton Station Dr
Maysville, KY 41056-9658
Phone
(606) 759-0700
Fax
(606) 759-0708
NPI assigned
Jan 19, 2011
Last updated
Jul 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Dr. Robert Michael Berry, PHARM-DNPI 1528319290
Title
Pic/Owner
Phone
(606) 584-0401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X P07435 KY Primary

Addresses

Primary practice location

912 Kenton Station Dr
Maysville, KY 41056-9658

Mailing address

912 Kenton Station Dr
Maysville, KY 41056-9658
Phone (606) 759-0700

Other identifiers 3

IdentifierTypeStateIssuer
3147142MedicaidOH
2128819OtherPK
7100153860MedicaidKY

Other names 1

  • Mason Family Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20111010000167 KY DME Supplier - Pharmacy 5294907556 Practice locations: Maysville, KY
O20130821000661 KY Part B Supplier - Mass Immunization (Roster Biller Only) 5294907556 Practice locations: Maysville, KY
O20210727003969 KY Part B Supplier - Independent Clinical Laboratory 5294907556 Practice locations: Maysville, KY

National Provider Directory

National Provider Directory
Tax ID family
Berry Pharmacist Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

912 Kenton Station Dr
Maysville, KY 41056
Phone (606) 759-0700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1699070896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 KENTON STATION DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569658",
            "telephone_number": "606-759-0700",
            "fax_number": "606-759-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 KENTON STATION DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569658",
            "telephone_number": "606-759-0700",
            "fax_number": "606-759-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY PHARMACIST GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "606-584-0401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM-D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3147142",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128819",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100153860",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mason Family Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mason Family Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maysville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.