NPIMap

Organization Active NPI

The Bernice Pharmacy Inc

Doing business as Bernice Pharmacy-LTC

  • Long Term Care Pharmacy
  • Bernice, LA
National Provider Identifier
1841809274
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
THE BERNICE PHARMACY INC
Doing business as
Bernice Pharmacy-LTC
Practice address
417 Main St
Bernice, LA 71222
Phone
(318) 285-9521
Fax
(318) 285-0185
NPI assigned
Jul 31, 2020
Last updated
Dec 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Dr. Brandon Keith Keaster, PHARM D
Title
Pic
Phone
(318) 285-9521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

417 Main St
Bernice, LA 71222

Mailing address

PO Box 636
Bernice, LA 71222-0636
Phone (318) 285-9521

Other names 1

  • Bernice Pharmacy-LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bernice Pharmacy-LTC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1841809274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "BERNICE",
            "state": "LA",
            "postal_code": "712220636",
            "telephone_number": "318-285-9521",
            "fax_number": "318-285-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 MAIN ST",
            "city": "BERNICE",
            "state": "LA",
            "postal_code": "71222",
            "telephone_number": "318-285-9521",
            "fax_number": "318-285-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BERNICE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "KEASTER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "318-285-9521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bernice Pharmacy-LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bernice, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.