DR. REBECCA SAMUEL BERHANU (NPI# 1114524600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114524600 |
| Entity Type | Individual |
| Full Name | DR. REBECCA SAMUEL BERHANU |
| Credential | PHARM.D. |
| Practice Address |
2500 Hospital Dr Martinsburg WV 25401-3402 |
| Practice Telephone | 3042641219 |
| Mailing Telephone | 3042641219 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RP0011767 | WV | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RP0011767 | WV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043462997 | Rebecca Hafkin Berhanu | Internal Medicine | 101 Manning Dr, Infectious Disease Clinic - 1st Floor Memorial Hospital, Chapel Hill, NC 27599-7030 | 2008-10-22 |
| Street Address |
2500 HOSPITAL DR |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921716 | Sira Diakite | Nurse Practitioner | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2020-10-31 |
| 1821605692 | Yohalmo Esau Escobar Leiva | Registered Nurse | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2020-09-25 |
| 1770194235 | Joseph Fama | Pharmacist | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2020-08-10 |
| 1275143828 | Amy Blue | Registered Nurse | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2020-08-07 |
| 1962029116 | Thomas E Bisom | Respiratory Therapist, Registered | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2020-07-02 |
| 1043836158 | Charles Henry Steg Jr. | Pharmacist | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2020-06-24 |
| 1649896077 | Carol S Crosmun | Pharmacist | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2020-06-22 |
| 1093331415 | Tammy J Mcdonald | Pharmacist | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2020-06-22 |
| 1992358469 | Kalindi Patel | Pharmacist | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2019-07-23 |
| 1710547187 | Gregory Alan Cresswell | Nurse Anesthetist, Certified Registered | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2019-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649896077 | Carol S Crosmun | Pharmacist | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2020-06-22 |
| 1346472263 | Christopher Floyd | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2009-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346640406 | Angela Dawkins | Pharmacist | 9503 Middletown Mall, Fairmont, WV 26554-2195 | 2014-08-26 |
| 1336401892 | Jeffrey Davis Eddy | Pharmacist | 2792 Keller Ln, Williamstown, WV 26187-8309 | 2012-06-11 |
| 1780988022 | Gregg Michael Stern | Pharmacist | 505 Virginia Ave., Smithers, WV 25186-0577 | 2010-12-30 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1053636704 | Patrick Robert Huffman | Pharmacist | 200 Veterans Avenue, Beckley, WV 25801 | 2010-04-06 |
| 1548425994 | Laurie Ann Fromm | Pharmacist | 112 Partridge Ln, Beckley, WV 25801-3606 | 2008-07-25 |
| 1295341741 | Lindsey Christine Judy | Pharmacist | 72 Whitewater Ave, Fayetteville, WV 25840-9648 | 2020-09-21 |
| 1700490125 | Kate Forman | Pharmacist | 4205 Maccorkle Ave Se, Charleston, WV 25304-2501 | 2020-09-02 |
| 1477162964 | Robert Logan Moneypenny | Pharmacist | 1 Medical Center Dr, Dept of Pharmaceutical Services 8045, Morgantown, WV 26506-1200 | 2020-07-30 |
| 1174132088 | Megan Ciborowski | Pharmacist | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSBURG |
| Zip Code | 25401 |
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| 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.