Active NPI
Cheryl A Burlett, M.S. PHARM
- Pharmacotherapy Pharmacist
- Las Vegas, NM
National Provider Identifier
1023202017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- RP00004930
- Practice address
- 3695 Hot Springs Blvd
Las Vegas, NM 87701-9549 - Phone
- (505) 454-2183
- Fax
- (505) 454-2182
- NPI assigned
- Sep 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | RP00004930 | NM | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | PC00000054 | NM |
Addresses
Primary practice location
3695 Hot Springs Blvd
Las Vegas, NM 87701-9549
Mailing address
3695 Hot Springs Blvd
Las Vegas, NM 87701-9549
Phone (505) 454-2183
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
- Master of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC00000054 | NM | MD | Pharmacotherapy Pharmacist |
| RP00004930 | NM | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216166400000",
"number": "1023202017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3695 HOT SPRINGS BLVD",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877019549",
"telephone_number": "505-454-2183",
"fax_number": "505-454-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3695 HOT SPRINGS BLVD",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877019549",
"telephone_number": "505-454-2183",
"fax_number": "505-454-2182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURLETT",
"first_name": "CHERYL",
"middle_name": "A",
"credential": "M.S. PHARM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-01",
"last_updated": "2008-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NM",
"license": "RP00004930",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NM",
"license": "PC00000054",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.