IndividualActive
Shane Berthelot, RPH
NPI 1609093293 · Pharmacist · Weslaco, TX
Provider details
- NPI number
- 1609093293
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12062 (SC)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1010 S Airport Dr Ste C
Weslaco, TX 78596-6600
Phone: (803) 378-4500
Fax: (803) 378-4500
Street-level locationGet directions
Mailing address
3418 Main Hwy
Bamberg, SC 29003-2135
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.