Active NPI
Joel Burke, R.PH.
- Pharmacist
- Doniphan, MO
National Provider Identifier
1013263755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043815
- Practice address
- 110 Leroux St
Doniphan, MO 63935-1001 - Phone
- (573) 996-4000
- Fax
- (573) 996-3239
- NPI assigned
- Jul 31, 2012
- Last updated
- Jul 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 043815 | MO | Primary |
Addresses
Primary practice location
110 Leroux St
Doniphan, MO 63935-1001
Mailing address
110 Leroux St
Doniphan, MO 63935-1001
Phone (573) 996-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043815 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Pharmacy Management LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1013263755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LEROUX ST",
"city": "DONIPHAN",
"state": "MO",
"postal_code": "639351001",
"telephone_number": "573-996-4000",
"fax_number": "573-996-3239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LEROUX ST",
"city": "DONIPHAN",
"state": "MO",
"postal_code": "639351001",
"telephone_number": "573-996-4000",
"fax_number": "573-996-3239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "JOEL",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-31",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "043815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doniphan, MO
- Big Springs Medical Association (Missouri Highlands Health Care)
- Big Springs Medical Association (Missouri Highlands Health Care)
- Rhonda Allyn Bishop
- Mark David Boswell
- Brighter Horizons
- Brandon Burns, MOTR/L
- City Drugs Inc
- City Drugs Inc
- Robyne G Collins, L.P.C.
- Comfort Care Home Health Agency, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.