Active NPI
Alexander Clay Bertram, PHARMD
- Pharmacist
- Ripley, OH
National Provider Identifier
1992834394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-3-26643
- Practice address
- 100 Main St
Ripley, OH 45167-1232 - Phone
- (937) 392-4020
- NPI assigned
- Mar 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03-3-26643 | OH | Primary |
Addresses
Primary practice location
100 Main St
Ripley, OH 45167-1232
Mailing address
55 Depot Cir
Georgetown, OH 45121-9021
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bertram Ripley Pharmacy | Past | Accepting new patients | |
| Bertram Sardinia Pharmacy | Past | Accepting new patients | |
| Waters Pharmacy Inc | Past | Accepting new patients | |
| Bertram Sardinia Pharmacy | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba Donohoo pharmacy
- Long Term Care Pharmacy
- Georgetown, OH
- NPI 1679386395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992834394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 DEPOT CIR",
"city": "GEORGETOWN",
"state": "OH",
"postal_code": "451219021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MAIN ST",
"city": "RIPLEY",
"state": "OH",
"postal_code": "451671232",
"telephone_number": "937-392-4020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTRAM",
"first_name": "ALEXANDER",
"middle_name": "CLAY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-3-26643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ripley, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.