NPIMap

Organization Active NPI

Burke Community Pharmacy Inc.

Doing business as Mission Community Pharmacy

  • Community/Retail Pharmacy
  • Mission, SD
National Provider Identifier
1023340767
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
100-1955 Issued in SD
Legal business name
BURKE COMMUNITY PHARMACY INC.
Doing business as
Mission Community Pharmacy
Practice address
161 S. Main Street
Mission, SD 57555
Phone
(605) 856-2120
NPI assigned
Feb 5, 2010
Last updated
Mar 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Renee Sutton, RPH
Title
Pharmacist in Charge
Phone
(605) 775-2294

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 100-1955 SD Primary

Addresses

Primary practice location

161 S. Main Street
Mission, SD 57555

Mailing address

161 S Main Street
PO Box 515
Mission, SD 57555
Phone (605) 856-2120

Other identifiers 2

IdentifierTypeStateIssuer
8504680MedicaidSD
2130260OtherPK

Other names 1

  • Mission Community Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Burke Community Pharmacy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1023340767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 S MAIN STREET",
            "address_2": "PO BOX 515",
            "city": "MISSION",
            "state": "SD",
            "postal_code": "57555",
            "telephone_number": "605-856-2120",
            "fax_number": "605-856-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 S. MAIN STREET",
            "city": "MISSION",
            "state": "SD",
            "postal_code": "57555",
            "telephone_number": "605-856-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE COMMUNITY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "605-775-2294",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "100-1955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8504680",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130260",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.