Individual provider Active NPI

Dylan Berenato, PHARM.D

  • Pharmacist
  • Long Beach, MS
National Provider Identifier
1942882360
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-14985 Issued in MS
Practice address
5101 Beatline Rd
Long Beach, MS 39560-3839
Phone
(228) 687-3040
NPI assigned
Apr 26, 2021
Last updated
May 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-14985 MS Primary

Addresses

Primary practice location

5101 Beatline Rd
Long Beach, MS 39560-3839

Mailing address

304 Charles Ave
Long Beach, MS 39560-4804
Phone (228) 265-4218

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
E-14985MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Corner Drug Store Inc CurrentSince May 18, 2025 Accepting new patients
Walgreen Co PastSince May 1, 2021 Accepting new patients
Walgreen Co PastSince May 1, 2021 Accepting new patients

Locations

5101 Beatline Rd
Long Beach, MS 39560
Phone (228) 424-5579

Organizations & group practices 3

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": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1942882360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CHARLES AVE",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604804",
            "telephone_number": "228-265-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 BEATLINE RD",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395603839",
            "telephone_number": "228-687-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENATO",
        "first_name": "DYLAN",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-26",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-14985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.