Individual provider Active NPI

Gregory Robert Bertoncini, PHARMD

  • Pharmacist
  • Taunton, MA
National Provider Identifier
1992145585
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH05213 Issued in RI
Practice address
81 Taunton Depot Dr
Taunton, MA 02780-6915
Phone
(508) 824-5848
Fax
(508) 692-6590
NPI assigned
Jun 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH05213 RI Primary

Addresses

Primary practice location

81 Taunton Depot Dr
Taunton, MA 02780-6915

Mailing address

81 Taunton Depot Dr
Taunton, MA 02780-6915
Phone (508) 824-5848

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
RPH05213RIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1992145585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 TAUNTON DEPOT DR",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027806915",
            "telephone_number": "508-824-5848",
            "fax_number": "508-692-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 TAUNTON DEPOT DR",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027806915",
            "telephone_number": "508-824-5848",
            "fax_number": "508-692-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTONCINI",
        "first_name": "GREGORY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH05213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.