Active NPI
Amy Lynn Berube
- Pharmacist
- New Bedford, MA
National Provider Identifier
1972894640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25038
- Practice address
- 2170 Acushnet Ave
New Bedford, MA 02745-6317 - Phone
- (508) 995-6408
- Fax
- (508) 995-7173
- NPI assigned
- Apr 28, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25038 | MA | Primary |
| Pharmacist | 183500000X | 4168 | RI |
Addresses
Primary practice location
2170 Acushnet Ave
New Bedford, MA 02745-6317
Mailing address
2170 Acushnet Ave
New Bedford, MA 02745-6317
Phone (508) 995-6408
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 |
|---|---|---|---|
| 25038 | MA | MD | Pharmacist |
| 4168 | RI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1972894640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2170 ACUSHNET AVE",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027456317",
"telephone_number": "508-995-6408",
"fax_number": "508-995-7173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 ACUSHNET AVE",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027456317",
"telephone_number": "508-995-6408",
"fax_number": "508-995-7173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERUBE",
"first_name": "AMY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-28",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "25038",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "4168",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.