MEDICARE: KRISTA ANN BERG PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	5302038735	MI

General Provider Information

NPI Number	:	1376964155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTA ANN BERG PHARMD

Provider Business Mailing Address
First Line	:	3955 N US HIGHWAY 31 S
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-4495
Country	:	US
Telephone Number	:	231-933-1833
Fax Number	:	231-933-1865

Provider Business Practice Location Address
First Line	:	3955 N US HIGHWAY 31 S
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-4495
Country	:	US
Telephone Number	:	231-933-1833
Fax Number	:	231-933-1865

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2013
Last Update Date	:	12/23/2013

Similar Medicare Providers

1396798682 — OTHER OFFICE
Practice Location Address:

3955 US 31 S
TRAVERSE CITY, MI
49684-4495

Practice Phone: 231-935-0500
Practice Fax: 231-935-0501

1265571178 — MEIJER INC
Practice Location Address:

3955 N US HIGHWAY 31 S
TRAVERSE CITY, MI
49684-4495

Practice Phone: 231-933-1810
Practice Fax: 231-933-1865

1740691500 — MATTHEW JACOBS
Practice Location Address:

3955 N US HIGHWAY 31 S
TRAVERSE CITY, MI
49684-4495

Practice Phone: 231-933-1833
Practice Fax:

1801415971 — JESSICA JACKLINE BRADLEY PHARM.D.
Practice Location Address:

3955 US 31 S
TRAVERSE CITY, MI
49684-4495

Practice Phone: 231-933-1810
Practice Fax: 231-933-1865

1811973522 — DR. TIMOTHY ALEXANDER TOLSON MD
Practice Location Address:

410 E MAIN ST , SUITE 202
ELIZABETH CITY, NC
27909-4495

Practice Phone: 252-338-0373
Practice Fax: 252-338-0073

1902879455 — DR. JOHN THOMAS MAPLE II DO
Practice Location Address:

3435 NW 56TH ST STE 101
OKLAHOMA CITY, OK
73112-4495

Practice Phone: 405-633-9101
Practice Fax: 405-633-9104

Directions to “ KRISTA ANN BERG PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.