Dr. Charles Bertagnolli Jr., Pharm.D.
Pharmacist in Roeland Park, KS. Individual provider (NPI-1).
NPI number1922593698
StatusActive
Last updated in NPPESJun 26, 2018
Details
- NPI
- 1922593698
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Bertagnolli Jr.
- Credential
- Pharm.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2018
- Last updated
- Jun 26, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 2018021529 | MO | Yes |
Practice location
4976 Skyline DrRoeland Park, KS 66205-1148
Phone 573-821-6418
Mailing address
4976 Skyline DrRoeland Park, KS 66205-1148
Phone 573-821-6418
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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