Individual provider Active NPI

Rachel Berrey, RPH

  • Pharmacist
  • Melbourne, FL
National Provider Identifier
1790071611
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS0020667 Issued in FL
Practice address
2750 W New Haven Ave
T-0689
Melbourne, FL 32904-3706
Phone
(321) 722-9262
Fax
(321) 722-9262
NPI assigned
Jun 20, 2011
Last updated
Jun 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS0020667 FL Primary

Addresses

Primary practice location

2750 W New Haven Ave
T-0689
Melbourne, FL 32904-3706

Mailing address

2750 W New Haven Ave
T-0689
Melbourne, FL 32904-3706
Phone (321) 722-9262

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
PS0020667FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1790071611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 W NEW HAVEN AVE",
            "address_2": "T-0689",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329043706",
            "telephone_number": "321-722-9262",
            "fax_number": "321-722-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W NEW HAVEN AVE",
            "address_2": "T-0689",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329043706",
            "telephone_number": "321-722-9262",
            "fax_number": "321-722-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERREY",
        "first_name": "RACHEL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0020667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.