# ST JOSEPH BEREA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831134030
- **Authorized official:** JAMIE JONES RPH (PIC)
- **Authorized official phone:** (859) 986-6541

## Contact information

- **Practice address:** 305 ESTILL ST, BEREA, KY 40403-1742
- **Practice address phone:** (859) 986-6541
- **Practice address fax:** (859) 986-2697
- **Mailing address:** 305 ESTILL ST, BEREA, KY 40403-1742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PO6847 | KY | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1813333 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 54023502 | — | KY |