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Contact Information

ST JOSEPH BEREA
305 ESTILL ST
BEREA, KY40403-1742
 Phone: 859-986-6541
 Fax: 859-986-2697
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ST JOSEPH BEREA

NPI Number 1831134030
LBN Legal business name ST JOSEPH BEREA
Authorized official JAMIE JONES - (PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
KY License # PO6847
KY Medicaid 54023502
Other 1813333 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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