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MR. THOMAS RICHARD BERG R.PH. NPI 1255485355


NPI Information

NPI: 1255485355
Provider Name: MR. THOMAS RICHARD BERG, R.PH.
Classification: Pharmacist - 183500000X
Entity Type: Individual
Address:
39 SHORTCUT ROAD
INCHELIUM, WA
ZIP 99138
Phone: (509) 722-7009
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MR. Thomas Richard Berg, R.PH. is a pharmacist in Inchelium, WA. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. MR. Thomas Richard Berg, R.PH. NPI is 1255485355. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

39 SHORTCUT ROAD
INCHELIUM, WA
ZIP 99138-290
Phone: (509) 722-7009
Fax: (509) 722-7021

The enumeration date for this NPI number is 1/23/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist4214SOUTH DAKOTAYes
2332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyCF00003827WASHINGTONX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16008767MEDICAIDWASHINGTON
24924735OTHERWASHINGTONNABP
3CF00003827OTHERWASHINGTONPHARMACY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.