Active NPI
Mary Teresa Berrettini, RPH
- Pharmacist
- West Hazleton, PA
National Provider Identifier
1851860530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP030508L
- Practice address
- 100 Weis LN
West Hazleton, PA 18202-1207 - Phone
- (570) 455-6670
- Fax
- (570) 455-8866
- NPI assigned
- Nov 25, 2018
- Last updated
- Nov 25, 2018
- Sex
- Female
- 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 | RP030508L | PA | Primary |
Addresses
Primary practice location
100 Weis LN
West Hazleton, PA 18202-1207
Mailing address
745 Arthur St
Hazle Township, PA 18201-2046
Phone (570) 578-7507
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP030508L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weis Markets Inc | Past | Accepting new patients | |
| Weis Markets 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543104000000",
"number": "1851860530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 ARTHUR ST",
"city": "HAZLE TOWNSHIP",
"state": "PA",
"postal_code": "182012046",
"telephone_number": "570-578-7507",
"fax_number": "570-455-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WEIS LN",
"city": "WEST HAZLETON",
"state": "PA",
"postal_code": "182021207",
"telephone_number": "570-455-6670",
"fax_number": "570-455-8866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRETTINI",
"first_name": "MARY",
"middle_name": "TERESA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-25",
"last_updated": "2018-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP030508L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hazleton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.