Burlington 8142 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12893 Issued in NC

Legal business name

BURLINGTON 8142 LLC

Practice address

378 Harden St
Burlington, NC 27215-7516

Phone

(336) 222-9811

Fax

(336) 222-9310

NPI assigned

Nov 13, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Cockman

Title

Owner

Phone

(336) 222-9811

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Medicap Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1003289034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 HARDEN ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272157516",
            "telephone_number": "336-222-9811",
            "fax_number": "336-222-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 HARDEN ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272157516",
            "telephone_number": "336-222-9811",
            "fax_number": "336-222-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON 8142 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "COCKMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-222-9811"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "12893",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155766",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia Bullock, MA, LCMHCA, NCC
• Jamie Leigh Burgess-Flowers, MSW, LCSWA
• Irene Burgess, LPC
• Joanna Burgess, LMT
• Colleen Ann Burke, DPT
• Burlington Al Holdings I, LLC
• Burlington Anesthesia PA
• Burlington Care Center
• Burlington Care Center
• Burlington Chiropractic, Inc

• Community/Retail Pharmacy in Burlington, NC
• Providers in Burlington, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.