Mark Randy Burstyn, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH 38647 Issued in CA

Practice address

1326 S Baldwin Ave
Arcadia, CA 91007-7512

Phone

(626) 447-3591

Fax

(626) 447-4679

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Colonial Pharmacy Inc

  • Community/Retail Pharmacy
  • Arcadia, CA
  • NPI 1578749941
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1013095678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 S BALDWIN AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077512",
            "telephone_number": "626-447-3591",
            "fax_number": "626-447-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 S BALDWIN AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077512",
            "telephone_number": "626-447-3591",
            "fax_number": "626-447-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSTYN",
        "first_name": "MARK",
        "middle_name": "RANDY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 38647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA441560",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "0528399",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Buongiorno, MSW, LCSW
• Xavier Burgan
• Jose Luis Burgos, ASW
• James Burke, M.D.
• Barbara Norman Burns, L.AC., M.S.O.M.
• Amanda Rae Butler
• Katrina Elise Buxbaum, NP
• Rubi Buxton, PT, DPT
• C. Rodney Barnhart, M.D. Inc
• Caash Cancer Center

• Pharmacist in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.