MS. CARMEN JOY BERG


Address: 2320 South Salnave Road, Medical Lake, WA 99022
Phone: 5092991948

MS. CARMEN JOY BERG (NPI# 1902281959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902281959
Entity Type Individual
Full Name MS. CARMEN JOY BERG
Other Name CARMEN JOY EDWARDS
Credential RPH
Practice Address 2320 South Salnave Road
Medical Lake
WA 99022
Mailing Address Po Box 200
Medical Lake
WA 99022-0200
Practice Telephone 5092991948
Practice Fax Number 5092991967
Mailing Telephone 5092991948
Mailing Fax Number 5092991967
Enumeration Date 2015-07-20
Last Update Date 2017-04-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
11706 WA Pharmacy Service Providers

Other Providers CARMEN BERG

NPI Name Taxonomy Address Enumeration
1356956247 Carmen Berg Case Manager/Care Coordinator 2624 9th Ave S, Fargo, ND 58103-2350 2020-09-09

Office Location

Street Address 2320 SOUTH SALNAVE ROAD
City MEDICAL LAKE
State WA
Zip Code 99022

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417462227 Alicia Burton Dds Pllc Clinic/Center 47 E. Wa 902, Medical Lake, WA 99022 2017-12-04
1487100038 Tammy Lee Adler Pharmacist 1010 W Fir St, Medical Lake, WA 99022 2016-09-01
1033546288 Torrance Whitney Baldwin Speech-Language Pathologist 116 West 3rd St., Medical Lake, WA 99022 2013-10-02
1144572710 Keri Lea Wissink Speech-Language Pathologist 116 West Thrird Street, Medical Lake, WA 99022 2012-10-08
1609153766 Dutton Veterinary Medicine Pllc Special Hospital 212 East Lake Street, Medical Lake, WA 99022 2011-11-03
1881912962 Susan L Vanwormer Counselor 108 N. Jefferson, Medical Lake, WA 99022 2010-05-13
1467774232 Ryan K Love Dentist N 123 Brower Street, Medical Lake, WA 99022 2010-02-22
1023263464 Emily S Mildes Nurse Practitioner 1451 W Maple, Medical Lake, WA 99022 2008-11-26
1619005014 Maria Lydia Montenegro General Practice 2320 Salnave Rd, Lakeland Village, Medical Lake, WA 99022 2007-02-28
1851442693 Jessica M Toillion Dentist N 123 Brower, Medical Lake, WA 99022 2007-01-16
Find all providers in zip 99022

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891395760 Evelyn Tong Pharmacist 4229 122nd Ave Se, Bellevue, WA 98006-1915 2020-10-29
1356985345 Nancy Celine Tran Pharmacist 906 S 38th Ct, Renton, WA 98055-5897 2019-11-01
1265087654 Valorie Swensen Pharmacist 4500 Harrison St, Bellingham, WA 98229-3323 2019-08-02
1982110805 Derek Matlock Pharmacist 3715 Ocean Beach Hwy # 2, Longview, WA 98632-4801 2017-12-15
1659880938 Hazel Ann Feist Pharmacist 14406 Nw 20th Ave, Vancouver, WA 98685-8007 2017-09-29
1528586732 Mayumi Robbins Pharmacist 410 9th Ave N Fl 7, Seattle, WA 98109-4708 2017-09-07
1699293688 Jin Man Choe Pharmacist 105 W 8th Ave Ste 350, Spokane, WA 99204-2312 2017-08-30
1821457813 Marie Cermak Pharmacist 12333 Ne 130th Ln # Lane415, Kirkland, WA 98034-7467 2016-02-18
1639574981 Loi Chau Pharmacist 601 Broadway Rm 117, Seattle, WA 98122-5330 2014-10-29
1023410750 Danny Dang Pharmacist 64 Rainier Ave S Ste H, Renton, WA 98057-2047 2014-09-25
Find all providers with the same taxonomy

Competitor

Search similar providers

City MEDICAL LAKE
Zip Code 99022

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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