Beteliham S Berhane, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

123510 Issued in MN

Practice address

1112 Civic Center Dr NW
Rochester, MN 55901-1843

Phone

(507) 206-5173

NPI assigned

Dec 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Rochester, MN
  • NPI 1083922280
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1962008979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 CIVIC CENTER DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011843",
            "telephone_number": "507-206-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 CIVIC CENTER DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011843",
            "telephone_number": "507-206-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERHANE",
        "first_name": "BETELIHAM",
        "middle_name": "S",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "123510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay D Bergner, RN, CRNA
• Thomas Bergquist, PHD
• Beth A Bergstedt, LICSW
• Jennifer Lynn Bergstrom, OT
• Russell Alan Bergum, D.O.
• Hannah Daothip Berhow, DO
• Sarah Elizabeth Berini
• Grace Berke, RN
• Camilo Bermudez Noguera, MD, PHD
• Matthew E Bernard, M.D.

• Pharmacist in Rochester, MN
• Providers in Rochester, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.