Berkeley Home Pharmacy Llc, NPI 1508223645
Community/Retail Pharmacy in Moncks Corner, SC, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1508223645 |
| NPI Entity Type | Organization |
| Provider Name |
Berkeley Home Pharmacy Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 1008 Old Highway 52 Ste G, Moncks Corner, SC, US |
| Provider Mailing Address | 1404 British Dr, Moncks Corner, SC, US, 294617128 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | RPH Ted Tristan Nussbaum |
| Official Position | OWNER/PHARMACIST |
| Phone | 843-899-4700 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Community/Retail Pharmacy |
| Classification | |
| Group | |
| License No. | 16354 |
| License State | SC |
| Description | A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 2157670 | PK | 01 | |
| 716354 | SC | MEDICAID | 05 |
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