Deborah Berardo, RPH
Individual provider Active NPI Pharmacist · Santa Cruz, CA
NPI 1700288404 · NPPES record last updated Sep 24, 2014
Key facts
- NPI
- 1700288404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 37725 (CA)
- Practice address
- 1156 High St
Ucsc Cowell Student Health Center Pharmacy
Santa Cruz, CA 95064-1077 - Phone
- (831) 459-2360
- Fax
- (831) 459-3564
- NPI assigned
- Sep 24, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37725 | CA | MD | Pharmacist |
| 1130047 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 37725 | CA | Yes |
| Pharmacist | 183500000X | 1130047 | MN |
Addresses
Primary practice location
1156 High St
Ucsc Cowell Student Health Center Pharmacy
Santa Cruz, CA 95064-1077
Mailing address
268 Moore St
Santa Cruz, CA 95060-2514
Phone (831) 471-2106
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2014. 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.