Charles M Burt, PHARMACIST
Individual provider Active NPI Pharmacist · Hartford, KY
NPI 1033466347 · NPPES record last updated Aug 7, 2012
Key facts
- NPI
- 1033466347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 012780 (KY)
- Practice address
- 312 S Main St
Hartford, KY 42347-1129 - Phone
- (270) 298-3278
- Fax
- (270) 298-3290
- NPI assigned
- Aug 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012780 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wiggins Drugs Limited | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 012780 | KY | Yes |
Addresses
Primary practice location
312 S Main St
Hartford, KY 42347-1129
Mailing address
312 Main St
Hartford, KY 42347-1129
Phone (270) 298-3278
Other providers in Hartford, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.