Roberto L Berrios
Individual provider Active NPI Pharmacist · Malden, MA
NPI 1942021563 · NPPES record last updated Oct 17, 2024
Key facts
- NPI
- 1942021563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH1001085 (MA)
- Practice address
- 185 Centre St
Malden, MA 02148-5522 - Phone
- (781) 321-1765
- NPI assigned
- Oct 17, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH1001085 | MA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH1001085 | MA | Yes |
Addresses
Primary practice location
185 Centre St
Malden, MA 02148-5522
Mailing address
185 Centre St
Malden, MA 02148-5522
Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.