Active NPI
Ashley Jeanette Berry
- Pharmacist
- Davison, MI
National Provider Identifier
1871276428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302415242
- Practice address
- 8089 Lapeer Rd
Davison, MI 48423-2529 - Phone
- (810) 658-5410
- NPI assigned
- Aug 10, 2023
- Last updated
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 5302415242 | MI | Primary |
Addresses
Primary practice location
8089 Lapeer Rd
Davison, MI 48423-2529
Mailing address
8089 Lapeer Rd
Davison, MI 48423-2529
Phone (810) 658-5410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5315243585 | Other | MI | CONTROLLED SUBSTANCE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302415242 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meijer Inc | Past | Accepting new patients | |
| Meijer 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": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1871276428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8089 LAPEER RD",
"city": "DAVISON",
"state": "MI",
"postal_code": "484232529",
"telephone_number": "810-658-5410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8089 LAPEER RD",
"city": "DAVISON",
"state": "MI",
"postal_code": "484232529",
"telephone_number": "810-658-5410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "ASHLEY",
"middle_name": "JEANETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302415242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE LICENSE",
"identifier": "5315243585",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.