Jordan Berish, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH240992 Issued in MA

Practice address

4165 Washington St
Roslindale, MA 02131-1718

Phone

(617) 327-6326

NPI assigned

Sep 29, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• CVS Pharmacy, Inc.

  • Pharmacy
  • Roslindale, MA
  • NPI 1053826594
  NPD (past)
• CVS Pharmacy Inc

  • Pharmacy
  • Stafford, TX
  • NPI 1427931351
  NPD (past)

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1770207011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 ETHYL WAY",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020726128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 WASHINGTON ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311718",
            "telephone_number": "617-327-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERISH",
        "first_name": "JORDAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH240992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JordanRPH@protonmail.com",
            "affiliation": "N",
            "address_1": "4165 Washington St",
            "city": "Roslindale",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021311718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher Michael Bellinger, RN
• Pamela Bemis, LIC. AC.
• Katherine Mikkeslen Benenson, LICSW
• Diane Benson
• Bethanne T Berish II
• Randi Ellen Berkowitz
• Angela Berlingeri
• Alie Bernado
• Caitlin Rose Best
• Sofia Betancourt, B.S, PHARMD.

• Pharmacist in Roslindale, MA
• Providers in Roslindale, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.