Individual provider Active NPI

Debra Rose Berkovits, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1750605192
Registry record updated Mar 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
30422 Issued in NY
Practice address
5504 13TH Ave
Brooklyn, NY 11219-4515
Phone
(718) 436-6088
Fax
(718) 436-3649
NPI assigned
Mar 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 30422 NY Primary

Addresses

Primary practice location

5504 13TH Ave
Brooklyn, NY 11219-4515

Mailing address

5504 13TH Ave
Brooklyn, NY 11219-4515
Phone (718) 436-6088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
30422NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
F & D Pharmacy Inc Past Accepting new patients
F & D Pharmacy Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268524800000",
    "number": "1750605192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194515",
            "telephone_number": "718-436-6088",
            "fax_number": "718-436-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194515",
            "telephone_number": "718-436-6088",
            "fax_number": "718-436-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKOVITS",
        "first_name": "DEBRA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-14",
        "last_updated": "2010-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "30422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2010; 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.