Bertolinos Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

BERTOLINOS PHARMACY INC

Practice address

1500 S 12TH St
Philadelphia, PA 19147-6202

Phone

(215) 389-5917

Fax

(215) 389-5917

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Michael Bertolino

Title

Owner/Pharmacist

Phone

(215) 389-5917

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1962408419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S 12TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191476202",
            "telephone_number": "215-389-5917",
            "fax_number": "215-389-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S 12TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191476202",
            "telephone_number": "215-389-5917",
            "fax_number": "215-389-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTOLINOS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BERTOLINO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "215-389-5917",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP410177L",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011924410001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACO",
            "identifier": "39-59749",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Michael Bertinato, PHARM D
• Jordan E Bertok
• Katharine Bertolet, PSY.D.
• Matthew Bertolet
• Julianna Marie Bertolino, PA-C
• Bertram Jacobson
• Hanna Kay Bertucci
• Emmanuel C. Besa, M.D.
• Mathew N Beshara, MD
• Behdad David Besharatian, MD

• All providers in Philadelphia, PA
• Pharmacy in Pennsylvania

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

Verify at the official NPI Registry.