Healthcare Provider Details

I. General information

NPI: 1417018243
Provider Name (Legal Business Name): JOHN JOSEPH BERNABEI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 COLLIERS WAY
WEIRTON WV
26062-5053
US

IV. Provider business mailing address

4009 PALISADES DR
WEIRTON WV
26062-4328
US

V. Phone/Fax

Practice location:
  • Phone: 304-723-6331
  • Fax: 304-723-1131
Mailing address:
  • Phone: 304-723-6331
  • Fax: 304-723-1131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4808
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: