Active NPI
Timothy Berg, PHARMD
- Pharmacist
- Charlotte, NC
National Provider Identifier
1760813026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23715
- Practice address
- 2325 Village Lake Dr
Charlotte, NC 28212-0081 - Phone
- (704) 536-3663
- NPI assigned
- Dec 11, 2013
- Last updated
- Dec 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23715 | NC | Primary |
Addresses
Primary practice location
2325 Village Lake Dr
Charlotte, NC 28212-0081
Mailing address
809 Park Center Dr
Unit 305
Matthews, NC 28105-5047
Phone (919) 830-3271
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23715 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1760813026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 PARK CENTER DR",
"address_2": "UNIT 305",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055047",
"telephone_number": "919-830-3271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 VILLAGE LAKE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282120081",
"telephone_number": "704-536-3663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-11",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "23715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.