Alexander Clay Bertram, PHARMD
Individual provider Active NPI Pharmacist · Ripley, OH
NPI 1992834394 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992834394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03-3-26643 (OH)
- Practice address
- 100 Main St
Ripley, OH 45167-1232 - Phone
- (937) 392-4020
- NPI assigned
- Mar 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bertram Sardinia Pharmacy | Past |
Accepting new patients | |
| Bertram Ripley Pharmacy | Past |
Accepting new patients | |
| Bertram Sardinia Pharmacy | Past |
Accepting new patients | |
| Waters Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03-3-26643 | OH | Yes |
Addresses
Primary practice location
100 Main St
Ripley, OH 45167-1232
Mailing address
55 Depot Cir
Georgetown, OH 45121-9021
Other providers in Ripley, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.